Organization · Type 2 NPI
Mai T Phan, DDS
Dental Clinic/Center · Arlington, VA
NPI number
1912415647
Active
Practice location
4001 9th St N Ste 218
Arlington, VA 22203-1900
Fax (703) 522-0511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | VA7134 (VA) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1912415647
Mai T Phan, DDS's National Provider Identifier is 1912415647, issued on Jan 16, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Arlington, VA. The record was last updated on Jan 16, 2018.