Individual
TAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
462 N MADISON RD, ORANGE, VA 22960-1095
(540) 672-2605
Mailing address
3905 COOK ST, ALEXANDRIA, VA 22311-1015
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419452
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
05/06/2025
Last updated
05/29/2025
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