Individual
KEVIN THAI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
14130 NOBLEWOOD PLZ, #207-208, WOODBRIDGE, VA 22193-1443
(703) 878-9000
(703) 878-9999
Mailing address
14130 NOBLEWOOD PLZ, #207, WOODBRIDGE, VA 22193-1443
(703) 878-9000
(703) 878-9999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410270
VA
1223G0001X
General Practice Dentistry
401410270
VA
Other
Enumeration date
01/02/2007
Last updated
07/15/2021
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