Provider Demographics
NPI:1376903443
Name:DUONG, TOAN QUANG JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:TOAN
Middle Name:QUANG
Last Name:DUONG
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6407 SEVEN OAKS DR
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3151
Mailing Address - Country:US
Mailing Address - Phone:703-901-0570
Mailing Address - Fax:
Practice Address - Street 1:112 HOUSTON ST STE A
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-2451
Practice Address - Country:US
Practice Address - Phone:540-463-2134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC105921223G0001X
VA04014155001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice