Capital Esthetics and Family Dentistry Plc

NPI #1598153058 in Vienna, Virginia

Provider Information

NPI Number: 1598153058
Entity Type: Organization
Organization Name: Capital Esthetics and Family Dentistry Plc
Primary Specialty: Dentist
Enumeration Date: Jan 6, 2015
Last Updated: Jan 6, 2015

Practice Location

Address: 133 MAPLE AVE E
Address 2: #204
City: Vienna
State: Virginia
ZIP Code: 22180-5741
Phone: (704) 255-0040

Authorized Official

Name: DR. DIANE PHAM, DDS
Title: DENTIST
Phone: (703) 255-0040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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