Individual
DR. LONG TUONG NGUYEN SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12040 W BROAD ST, HENRICO, VA 23233-7689
(804) 364-7010
Mailing address
1612 HUGUENOT RD, MIDLOTHIAN, VA 23113
(804) 794-9789
(804) 419-1059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417025
VA
Other
Enumeration date
07/27/2020
Last updated
08/25/2021
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