SearchVirginia1223G0001X

Linh Phan, DDS

NPI 1710415716 · on the registry since 2017 · sole proprietor

Practice

Address
12602 Lake Ridge Dr
Woodbridge, VA 22192
Phone
(703) 490-5050
Organisation at this address
Gina C Pham Dds Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 440 E Tampa St, Springfield, MO
  • 440 E Tampa St, Springfield, MO

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
390200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-07-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia