| Anh H Pham Dds & Barry R Maharaj Dds Pc | |
|
3910 Centerville Rd Ste 110 Chantilly VA 20151-3280 | |
| (703) 668-9494 | |
| (703) 668-9495 |
| Full Name | Anh H Pham Dds & Barry R Maharaj Dds Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3910 Centerville Rd, Chantilly, Virginia |
| Authorized Official Name and Position | Kaiti Rose Grim (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 7036689494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anh H Pham Dds & Barry R Maharaj Dds Pc 3910 Centerville Rd Ste 110 Chantilly VA 20151-3280 Ph: (703) 668-9494 | Anh H Pham Dds & Barry R Maharaj Dds Pc 3910 Centerville Rd Ste 110 Chantilly VA 20151-3280 Ph: (703) 668-9494 |
| NPI Number | 1265547947 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 06/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265547947 | NPI | - | NPPES |
| 105289 | Other | TRIGON BCBS ANTHEM | |
| 555676 | Other | MAMSI OPT CHOICE ALLIANCE | |
| 1696192 | Other | UNITED CONCORDIA | |
| 1006881 | Other | UNITED HEALTH CARE | |
| 105288 | Other | TRIGON BCBS ANTHEM | |
| 1667155 | Other | UNITED CONCORDIA | |
| 392375 | Other | MAMSI OPT CHOICE ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401410305 (Virginia) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401006304 (Virginia) | Primary |
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