Individual provider · Type 1 NPI
Gina Cuc Pham, DDS
Pediatric Dentistry · Woodbridge, VA
NPI number
1861525818
Active
Practice location
12602 Lake Ridge Dr
Woodbridge, VA 22192-2335
Fax (703) 490-1155
Mailing address
PO Box 10083
Mc Lean, VA 22102-8083
Other practice locations
- 435 Ingraham St NE, Washington, DC 20011-2605 · (202) 600-4833
- 13900 Noblewood Plz, Woodbridge, VA 22193-1449 · (703) 490-5050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 13454 (MD) |
| Pediatric Dentistry | 1223P0221X | DEN1001433 (DC) |
| Pediatric Dentistry Primary | 1223P0221X | 0401411775 (VA) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4 other providers at this address
Other pediatric dentistry providers in Woodbridge
About NPI 1861525818
Gina Cuc Pham, DDS's National Provider Identifier is 1861525818, issued on Mar 13, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Woodbridge, VA. The record was last updated on Mar 17, 2021.