NPI 1023207792

Su-En C Thlick, DMD

Organisation General Practice Dentistry Woodbridge, VA

Practice location

Address: 12701 Marblestone Dr Suite #260, Woodbridge, VA 22192-8307
Phone: (703) 670-2114

Authorised official

Name: Su-En C Thlick
Title: Dentist/ Owner
Phone: (703) 670-2114

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1023207792
Entity type: Organization
NPI issued: 18 Oct 2007
Record last updated: 18 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.