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Individual

DOANTRANG T NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
13880 BRADDOCK RD STE 109, CENTREVILLE, VA 20121-2460
(703) 893-6680
Mailing address
22574 HIGHCROFT TER, BRAMBLETON, VA 20148-8049
(240) 475-2717

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417825
VA
122300000X
Dentist
DEN2000152
DC

Other

Enumeration date
04/27/2021
Last updated
02/15/2023
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