Organization
THUAN NGUYEN DDS, PC
Active
Other names
5130-8 Duke Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THUAN NGUYEN DDS (PRESIDENT)
(703) 823-2848
Entity
Organization
Contact information
Practice address
5130 DUKE ST STE 8, ALEXANDRIA, VA 22304-2955
(703) 823-2848
(703) 823-2847
Mailing address
5130 DUKE ST STE 8, ALEXANDRIA, VA 22304-2955
(703) 823-2848
(703) 823-2847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410942
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9181808
—
VA
Enumeration date
10/24/2007
Last updated
10/24/2007
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