Individual
QUANG NGOC HUY TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8626 LEE HWY, FAIRFAX, VA 22031-2135
(703) 698-5155
Mailing address
9414 OLD RESERVE WAY, FAIRFAX, VA 22031-4736
(703) 698-5155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411451
VA
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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