# DIEM H. NGUYEN, D.D.S, P.C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHANTILLY DENTAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073785382
- **Authorized official:** DR. DIEM THI NGUYEN D.D.S (PRESIDENT)
- **Authorized official phone:** (703) 467-0214

## Contact information

- **Practice address:** 3901 CENTERVIEW DR, SUITE \#T, CHANTILLY, VA 20151-3228
- **Practice address phone:** (703) 467-0214
- **Practice address fax:** (703) 467-0568
- **Mailing address:** 3901 CENTERVIEW DR, SUITE \#T, CHANTILLY, VA 20151-3228
- **Mailing address phone:** (703) 467-0214
- **Mailing address fax:** (703) 467-0568

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410421 | VA | Yes |

## Other

- **Enumeration date:** 03/26/2008
- **Last updated:** 03/26/2008