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Individual

DR. THAO BUI-NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
8557 SUDLEY ROAD, MANASSAS, VA 20110
(703) 361-3261
(703) 361-7264
Mailing address
8557 SUDLEY ROAD, MANASSAS, VA 20110
(703) 361-3261
(703) 361-7264

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007472
VA

Other

Enumeration date
03/12/2010
Last updated
03/12/2010
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