Organization
PHUONG NGOC NGUYEN DMD, PLLC.
Active
Other names
Woodbridge Oral & Maxillofacial Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONG NGOC NGUYEN DMD (PRESIDENT)
(714) 235-1324
Entity
Organization
Contact information
Practice address
4585 DAISY REID AVE STE 105, WOODBRIDGE, VA 22192-7802
(703) 670-6886
(703) 670-3108
Mailing address
4585 DAISY REID AVE STE 105, WOODBRIDGE, VA 22192-7802
(703) 670-6886
(703) 670-3108
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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