Provider Demographics
NPI:1841464047
Name:QUYEN DAO, DDS, PLLC
Entity type:Organization
Organization Name:QUYEN DAO, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:QUYEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:DAO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-204-1771
Mailing Address - Street 1:7202 ARLINGTON BLVD
Mailing Address - Street 2:309
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-1859
Mailing Address - Country:US
Mailing Address - Phone:703-204-1771
Mailing Address - Fax:703-204-4797
Practice Address - Street 1:7202 ARLINGTON BLVD
Practice Address - Street 2:309
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1859
Practice Address - Country:US
Practice Address - Phone:703-204-1771
Practice Address - Fax:703-204-4797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014102661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty