Individual
QUOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3901 CENTERVIEW DR, SUITE T, CHANTILLY, VA 20151-3228
(703) 467-0214
Mailing address
3609 JEAN ST, FAIRFAX, VA 22030-2305
(703) 383-4975
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
VA
Other
Enumeration date
10/24/2006
Last updated
07/31/2007
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