Sophia C Phass DDS

NPI 1194912790 - Dentist - 1223G0001X

NPI Details
NPI 1194912790
Gender Female
Enumeration Date 09/27/2007
Last Updated 09/27/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
5205 LEESBURY PIKE
SUITE 101 JACK C PHASS JR DDS INC
FALLS CHURCH VA, 22041-3802, US
Phone (703) 824-0055
Fax (703) 998-9859
Business Location
5205 LEESBURY PIKE
SUITE 101 JACK C PHASS JR DDS INC
FALLS CHURCH VA, 22041-3802, US
Phone (703) 824-0055
Fax (703) 998-9859
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401007124
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According to our database, Dr. Sophia C Phass DDS NPI is 1194912790, taxonomy code is 1223G0001X and license number is 0401007124, license state is located at Virginia. Sophia C Phass DDS physically located at 5205 Leesbury Pike, Falls Church VA, 22041-3802. NPI Number Sophia C Phass DDS has the Individual type.

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1194912790 NPI number is provided on an as is basis without warranty of any kind. 1194912790 is maintained by the National Plan & Provider Enumeration System. The contents of Sophia C Phass DDS are for informational purposes only.