Provider Demographics
NPI:1295943389
Name:NGO, VALERIE DOANPHUONG (DDS)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:DOANPHUONG
Last Name:NGO
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 1:2650 LOGAN WOOD DR
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-4366
Mailing Address - Country:US
Mailing Address - Phone:703-713-0739
Mailing Address - Fax:
Practice Address - Street 1:462 HERNDON PKWY STE 106
Practice Address - Street 2:
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-5235
Practice Address - Country:US
Practice Address - Phone:703-707-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010079701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice