Provider Demographics
NPI:1932304029
Name:ERICKSON, TU-QUYNH NGUYEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:TU-QUYNH
Middle Name:NGUYEN
Last Name:ERICKSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-1128
Mailing Address - Country:US
Mailing Address - Phone:703-899-4639
Mailing Address - Fax:
Practice Address - Street 1:1325 18TH ST NW STE 203
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6501
Practice Address - Country:US
Practice Address - Phone:202-716-7626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-19
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0529731223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics