Long D Pham DDS Pllc

NPI #1093187510 in Herndon, Virginia

Provider Information

NPI Number: 1093187510
Entity Type: Organization
Organization Name: Long D Pham DDS Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 23, 2015
Last Updated: Oct 23, 2015

Practice Location

Address: 462 HERNDON PKWY
City: Herndon
State: Virginia
ZIP Code: 20170-5233
Phone: (703) 707-8500

Authorized Official

Name: NOHEMI NOLASCO
Title: RECEPTIONIST
Phone: (703) 237-7820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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