Individual
LONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13873 PARK CENTER RD, HERNDON, VA 20171-3223
(703) 478-0115
Mailing address
13873 PARK CENTER RD, HERNDON, VA 20171-3223
(703) 478-0115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411140
VA
Other
Enumeration date
01/02/2007
Last updated
03/27/2025
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