Individual
DR. NGOC BAO NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3608 FOREST DR, ALEXANDRIA, VA 22302-1092
(703) 671-8431
Mailing address
7405 EXMORE ST, SPRINGFIELD, VA 22150-4027
(703) 973-4120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417007
VA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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