Lafayette Family Dentistry, Pllc

NPI #1578704797 in Chantilly, Virginia

Provider Information

NPI Number: 1578704797
Entity Type: Organization
Organization Name: Lafayette Family Dentistry, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 18, 2009
Last Updated: Mar 18, 2009

Practice Location

Address: 4229 LAFAYETTE CENTER DR
Address 2: #1225
City: Chantilly
State: Virginia
ZIP Code: 20151-1261
Phone: (703) 378-1177

Authorized Official

Name: DR. TRUC T PHAN, D.D.S
Title: OWNER
Phone: (703) 378-1177

Specialties & Taxonomy Codes

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

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