Provider Demographics
NPI:1093060147
Name:ALL SMILES DENTAL OF FALLS CHURCH, PLLC
Entity Type:Organization
Organization Name:ALL SMILES DENTAL OF FALLS CHURCH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THANG
Authorized Official - Middle Name:BA
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-237-7820
Mailing Address - Street 1:6400 K SEVEN CORNERS PL
Mailing Address - Street 2:ALL SMILES DENTAL OF FALLS CHURCH, PLLC
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044
Mailing Address - Country:US
Mailing Address - Phone:703-237-7820
Mailing Address - Fax:703-237-6699
Practice Address - Street 1:6400 K SEVEN CORNERS PL
Practice Address - Street 2:ALL SMILES DENTAL OF FALLS CHURCH, PLLC
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044
Practice Address - Country:US
Practice Address - Phone:703-237-7820
Practice Address - Fax:703-237-6699
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALL SMILES DENTAL OF FALLS CHURCH, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty