Individual
NHU-QUYNH PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
9323 WINBOURNE RD, BURKE, VA 22015-1755
(703) 309-5325
Mailing address
9323 WINBOURNE RD, BURKE, VA 22015-1755
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415013
VA
122300000X
Dentist
DN 21532
FL
Other
Enumeration date
11/08/2015
Last updated
02/06/2022
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