| Sudley Family Dentistry | |
|
8739 Plantation Ln Manassas VA 20110-4506 | |
| (703) 368-0704 | |
| Not Available |
| Full Name | Sudley Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 8739 Plantation Ln, Manassas, Virginia |
| Authorized Official Name and Position | Long Nguyen (PRESIDENT) |
| Authorized Official Contact | 6466418825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sudley Family Dentistry 7915 Lake Manassas Dr Suite 115 Gainesville VA 20155-3258 Ph: () - | Sudley Family Dentistry 8739 Plantation Ln Manassas VA 20110-4506 Ph: (703) 368-0704 |
| NPI Number | 1285062737 |
|---|---|
| Provider Enumeration Date | 10/21/2013 |
| Last Update Date | 10/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285062737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411140 (Virginia) | Primary |
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