Pham, Gina Cuc

Pham, Gina Cuc is an sole proprietor health care provider with primary practice located at 12602 Lake Ridge Dr , Woodbridge VA 22192-2335. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Pham, Gina Cuc can be contacted via phone (703) 490-5050.

Contact Information

Primary practice address
12602 Lake Ridge Dr Woodbridge VA 22192-2335
Phone: (703) 490-5050
Fax: (703) 490-1155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 13454 Maryland
Dental Providers / Pediatric Dentistry 1223P0221X DEN1001433 District of Columbia
Dental Providers / Pediatric Dentistry 1223P0221X 0401411775 Virginia

Profile Details

NPI number 1861525818
LBN Legal business name Pham, Gina Cuc
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2007
Last updated Mar 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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