# NGOC NGUYEN DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Your Family Dentist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366111080
- **Authorized official:** DR. NGOC BAO NGUYEN DMD (OWNER DENTIST)
- **Authorized official phone:** (703) 973-4120

## Contact information

- **Practice address:** 5666 COLUMBIA PIKE STE A, FALLS CHURCH, VA 22041-2701
- **Practice address phone:** (703) 417-9622
- **Mailing address:** 5666 COLUMBIA PIKE STE A, FALLS CHURCH, VA 22041-2701
- **Mailing address phone:** (703) 417-9622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/07/2021
- **Last updated:** 09/07/2021