Individual
DR. JENNIFER T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
12110 MONUMENT DR STE A, FAIRFAX, VA 22033-5553
(703) 273-4505
Mailing address
12110 MONUMENT DR STE A, FAIRFAX, VA 22033-5553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413311
VA
Other
Enumeration date
06/06/2011
Last updated
05/21/2012
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