# SUDLEY FAMILY DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285062737
- **Authorized official:** DR. LONG NGUYEN DDS (PRESIDENT)
- **Authorized official phone:** (646) 641-8825

## Contact information

- **Practice address:** 8739 PLANTATION LN, MANASSAS, VA 20110-4506
- **Practice address phone:** (703) 368-0704
- **Mailing address:** 7915 LAKE MANASSAS DR, SUITE 115, GAINESVILLE, VA 20155-3258

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401411140 | VA | Yes |

## Other

- **Enumeration date:** 10/21/2013
- **Last updated:** 10/21/2013