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Gina C Pham Dds Pc
Pediatric Dentist in Woodbridge, Virginia
NPI 1801029590

Gina C Pham Dds Pc is a Pediatric Dentist based in Mc Lean, VA and is specialized in Pediatric Dentistry. Gina C Pham Dds Pc practices in Woodbridge, VA. The NPI Number for Gina C Pham Dds Pc is 1801029590 and holds a License No. 0401411775 (Virginia).

The current practice location address for Gina C Pham Dds Pc is 12602 Lake Ridge Dr, Woodbridge, VA and can be reached out via phone at 703-490-5050. You can also correspond with Gina C Pham Dds Pc through the mailing address at PO BOX 10083, MC LEAN, VA - 22102-8083 (mailing address contact number: 703-626-8196).

Location: 12602 Lake Ridge Dr, Woodbridge, VA, 22102-8083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1801029590
Provider Name
Gina C Pham Dds Pc
Credential
Provider Entity Type
Organization
Address
12602 Lake Ridge Dr, Woodbridge, VA, 22102-8083
Phone Number
703-490-5050
Fax Number
Provider Enumeration Date
08/27/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
12602 Lake Ridge Dr
City
Woodbridge
State
Virginia
Zip
22192-2335
Phone Number
703-490-5050
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 10083
City
Mc Lean
State
Virginia
Zip
22102-8083
Phone Number
703-626-8196
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
0401411775 (Virginia)
Definition
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.
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