Individual
BICHLAN THI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9671 MAIN ST, SUITE D, FAIRFAX, VA 22031-3750
(703) 503-5211
(703) 503-5288
Mailing address
9671 MAIN ST, SUITE D, FAIRFAX, VA 22031-3750
(703) 503-5211
(703) 503-5288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007526
VA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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