Individual
PHUONG NGOC NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
9328 CASTLE HILL RD, SPRINGFIELD, VA 22153-3900
(714) 235-1324
Mailing address
4585 DAISY REID AVE STE 105, WOODBRIDGE, VA 22192-7802
(714) 235-1324
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
401412250
VA
Other
Enumeration date
05/22/2007
Last updated
11/05/2013
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