DR. Truc T Phan, D.D.S

NPI #1194916254 in Chantilly, Virginia

Provider Information

NPI Number: 1194916254
Entity Type: Individual
Name: DR. Truc T Phan, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S
Enumeration Date: Aug 5, 2007
Last Updated: Aug 5, 2007

Practice Location

Address: 4229 LAFAYETTE CENTER DR
Address 2: #1225
City: Chantilly
State: Virginia
ZIP Code: 20151-1261
Phone: (571) 214-6485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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