| Britestars Pediatric Dentistry | |
|
12602 Lake Ridge Dr Woodbridge VA 22192-2335 | |
| (703) 490-5050 | |
| Not Available |
| Full Name | Britestars Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12602 Lake Ridge Dr, Woodbridge, Virginia |
| Authorized Official Name and Position | Gina C Pham (PEDIATRIC DENTIST) |
| Authorized Official Contact | 7034905050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Britestars Pediatric Dentistry Po Box 10083 Mc Lean VA 22102-8083 Ph: (703) 626-8196 | Britestars Pediatric Dentistry 12602 Lake Ridge Dr Woodbridge VA 22192-2335 Ph: (703) 490-5050 |
| NPI Number | 1801029590 |
|---|---|
| Provider Enumeration Date | 08/27/2009 |
| Last Update Date | 02/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801029590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401411775 (Virginia) | Primary |
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