| 5130-8 Duke Street Dental | |
|
5130 Duke St Ste 8 Alexandria VA 22304-2955 | |
| (703) 823-2848 | |
| (703) 823-2847 |
| Full Name | 5130-8 Duke Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5130 Duke St Ste 8, Alexandria, Virginia |
| Authorized Official Name and Position | Thuan Nguyen (PRESIDENT) |
| Authorized Official Contact | 7038232848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 5130-8 Duke Street Dental 5130 Duke St Ste 8 Alexandria VA 22304-2955 Ph: (703) 823-2848 | 5130-8 Duke Street Dental 5130 Duke St Ste 8 Alexandria VA 22304-2955 Ph: (703) 823-2848 |
| NPI Number | 1639358815 |
|---|---|
| Provider Enumeration Date | 10/24/2007 |
| Last Update Date | 10/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639358815 | NPI | - | NPPES |
| 9181808 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410942 (Virginia) | Primary |
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