Susan Le Luong, D.D.S.

NPI #1821475005 in Fairfax, Virginia

Provider Information

NPI Number: 1821475005
Entity Type: Individual
Name: Susan Le Luong, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Apr 27, 2015
Last Updated: Apr 27, 2015

Practice Location

Address: 3077 NUTLEY ST
City: Fairfax
State: Virginia
ZIP Code: 22031-1931
Phone: (703) 280-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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