Individual
DR. BACH NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 CORNERSIDE BLVD STE 500, TYSONS, VA 22182-2440
(703) 625-6229
Mailing address
4020 LAFAYETTE VILLAGE DR, ANNANDALE, VA 22003-1500
(571) 830-4299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417315
VA
1223G0001X
General Practice Dentistry
17064
MD
1223G0001X
General Practice Dentistry
DEN1002171
DC
Other
Enumeration date
03/24/2021
Last updated
06/17/2025
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