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1821475005
SUSAN LE LUONG
FAIRFAX, VA
NPI
1821475005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401410050)
Enumeration Date
2015-04-27
Last Update Date
2015-04-27
Business Address
-- SUSAN LE LUONG D.D.S.
3077 NUTLEY ST
FAIRFAX, VA 22031-1931
Phone number: 703-280-1100
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Mailing Address
-- SUSAN LE LUONG D.D.S.
3077 NUTLEY ST
FAIRFAX, VA 22031-1931
Phone number: 703-280-1100
Copy
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