Most Relevant Information
Provider Data
| NPI Number: | 1003596826 |
| Provider Name: | TRANG NGUYEN |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 0401418525 |
Most Important Dates
| Enumeration Date: | 07/18/2023 |
| Last Updated: | 07/31/2023 |
Provider Practice Location
1918 OPITZ BLVD
WOODBRIDGE
VA
221913304
Practice Location Phone/Fax
| Phone: | 7034942144 |
| Fax: |
Provider Mailing Location
3871 SCIBILIA RD
FAIRFAX
VA
220331415
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |