Organization
SUDLEY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG NGUYEN DDS (PRESIDENT)
(646) 641-8825
Entity
Organization
Contact information
Practice address
8739 PLANTATION LN, MANASSAS, VA 20110-4506
(703) 368-0704
Mailing address
7915 LAKE MANASSAS DR, SUITE 115, GAINESVILLE, VA 20155-3258
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411140
VA
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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