# THAO BUI-NGUYEN, DDS, PC

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

## Provider details

- **NPI number:** 1659418879
- **Authorized official:** THAO P BUI-NGUYEN DDS (DENTIST)
- **Authorized official phone:** (703) 361-3261

## Contact information

- **Practice address:** 8557 SUDLEY RD, MANASSAS, VA 20110-3811
- **Practice address phone:** (703) 361-3261
- **Practice address fax:** (703) 361-7264
- **Mailing address:** 8557 SUDLEY RD, MANASSAS, VA 20110-3811
- **Mailing address phone:** (703) 361-3261
- **Mailing address fax:** (703) 361-7264

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 7472 | VA | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/22/2020