Individual
CALVIN KHANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8622 LEE HWY STE A, FAIRFAX, VA 22031-2148
(703) 876-4600
Mailing address
12583 SCENIC RIDGE TRL, FAIRFAX, VA 22033-6230
(703) 236-1837
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008988
VA
Other
Enumeration date
11/30/2006
Last updated
07/08/2007
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