Jessica Thai

NPI #1912473505 in Ashburn, Virginia

Provider Information

NPI Number: 1912473505
Entity Type: Individual
Name: Jessica Thai
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Oct 22, 2018
Last Updated: Dec 11, 2024

Practice Location

Address: 20405 EXCHANGE ST STE 210
City: Ashburn
State: Virginia
ZIP Code: 20147-5934
Phone: (703) 729-0169

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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