Most Relevant Information
Provider Data
| NPI Number: | 1003264821 |
| Provider Name: | CHI-LAN PHAM D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223P0221X |
| Specialty: | Dentist |
| License Number: | 019.031604 |
Most Important Dates
| Enumeration Date: | 06/02/2016 |
| Last Updated: | 09/09/2021 |
Provider Practice Location
4200 WISCONSIN AVE NW STE 240
WASHINGTON
DC
200162175
Practice Location Phone/Fax
| Phone: | 2025457200 |
| Fax: |
Provider Mailing Location
4200 WISCONSIN AVE NW STE 240
WASHINGTON
DC
200162175
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |