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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GINA CUC PHAM, DDS

Active Sole Proprietor

DR. GINA CUC PHAM, DDS is a Pediatric Dentistry healthcare provider located in WOODBRIDGE, Virginia. NPI 1861525818 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · WOODBRIDGE, VA

Registration Details

NPI Number
1861525818
Provider Type
Individual
Gender
Female
NPI Issued
Mar 13, 2007 (19.442133105705 yrs)
Last Updated
Mar 17, 2021
Licenses
13454 (MD)
DEN1001433 (DC)
0401411775 (VA)
Sole Proprietor
Yes

Practice Information

Address
12602 LAKE RIDGE DR
WOODBRIDGE, VA, 221922335
Browse VA providers · Browse ZIP 22192
Phone
7034905050
Fax
7034901155
Primary Specialty
Pediatric Dentistry
1223P0221X
Additional Specialty
Pediatric Dentistry
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in WOODBRIDGE, VA

Name Credential NPI
DR. APRIL JOY JOHNSON TOYER D.D.S. 1992935449
DR. YUN-JU YOO JUNG DDS 1205240926
KIAN ZABI MOMENI DDS 1043731086
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.