Provider Demographics
NPI:1245418672
Name:RIDING PLAZA DENTAL CARE, PLLC
Entity Type:Organization
Organization Name:RIDING PLAZA DENTAL CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:LINH
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-327-9935
Mailing Address - Street 1:25055 RIDING PLZ
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SOUTH RIDING
Mailing Address - State:VA
Mailing Address - Zip Code:20152-5917
Mailing Address - Country:US
Mailing Address - Phone:703-327-9935
Mailing Address - Fax:
Practice Address - Street 1:25055 RIDING PLZ
Practice Address - Street 2:SUITE 210
Practice Address - City:SOUTH RIDING
Practice Address - State:VA
Practice Address - Zip Code:20152-5917
Practice Address - Country:US
Practice Address - Phone:703-327-9935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental