| NPI | 1639358815 |
|---|---|
| Doing Business As | 5130-8 DUKE STREET DENTAL |
| Entity Type | Organization |
| Authorized Contact | THUAN NGUYEN President 703-823-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401410942) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |