# THUAN NGUYEN DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 5130-8 Duke Street Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639358815
- **Authorized official:** DR. THUAN NGUYEN DDS (PRESIDENT)
- **Authorized official phone:** (703) 823-2848

## Contact information

- **Practice address:** 5130 DUKE ST STE 8, ALEXANDRIA, VA 22304-2955
- **Practice address phone:** (703) 823-2848
- **Practice address fax:** (703) 823-2847
- **Mailing address:** 5130 DUKE ST STE 8, ALEXANDRIA, VA 22304-2955
- **Mailing address phone:** (703) 823-2848
- **Mailing address fax:** (703) 823-2847

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401410942 | VA | Yes |

## Other

- **Enumeration date:** 10/24/2007
- **Last updated:** 10/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 9181808 | — | VA |