Organization
CARABELLA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHANH VY NGUYEN DDS (PRACTICE OWNER)
(202) 743-5303
Entity
Organization
Contact information
Practice address
420 SOUTH PICKETT STREET, ALEXANDRIA, VA 22304-2230
(202) 743-5303
Mailing address
2671 AVENIR PL APT 2324, VIENNA, VA 22180-7490
(703) 853-6019
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/10/2020
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