Anh H Pham DDS & Barry R Maharaj DDS PC

NPI #1265547947 in Chantilly, Virginia

Provider Information

NPI Number: 1265547947
Entity Type: Organization
Organization Name: Anh H Pham DDS & Barry R Maharaj DDS PC
Primary Specialty: Dentist - Oral and Maxillofacial Surgery
Enumeration Date: Aug 20, 2006
Last Updated: Jun 27, 2013

Practice Location

Address: 3910 CENTERVILLE RD
Address 2: STE 110
City: Chantilly
State: Virginia
ZIP Code: 20151-3280
Phone: (703) 668-9494

Authorized Official

Name: MRS. KAITI ROSE GRIM, CMOM CERT MEDICAL OF
Title: ADMINISTRATIVE DIRECTOR
Phone: (703) 668-9494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X	Primary

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