| Lucent Dental PLLC | |
|
9671d Main St Fairfax VA 22031-3742 | |
| (703) 503-5211 | |
| Not Available |
| Full Name | Lucent Dental PLLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9671d Main St, Fairfax, Virginia |
| Authorized Official Name and Position | Brandon Tran (DENTIST) |
| Authorized Official Contact | 7035035211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lucent Dental PLLC 9671d Main St Fairfax VA 22031-3742 Ph: (703) 503-5211 | Lucent Dental PLLC 9671d Main St Fairfax VA 22031-3742 Ph: (703) 503-5211 |
| NPI Number | 1255262077 |
|---|---|
| Provider Enumeration Date | 05/28/2026 |
| Last Update Date | 05/28/2026 |
| Certification Date | 05/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255262077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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