Individual
DR. PHILLIP NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2830 CAMPUS WAY N STE 614, GLENARDEN, MD 20706-1669
(301) 955-9198
Mailing address
2830 CAMPUS WAY N STE 614, GLENARDEN, MD 20706-1669
(301) 955-9198
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401416904
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
17949
MD
Other
Enumeration date
04/27/2015
Last updated
01/26/2024
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