Individual
CHRISTOPHER NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5200A ROLLING RD, BURKE, VA 22015-4696
(703) 323-3910
Mailing address
5200A ROLLING RD, BURKE, VA 22015-4696
(703) 323-3910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417196
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2020
Last updated
08/02/2022
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