Provider Demographics
NPI:1992090948
Name:ORTEGA, THU-NGA H (DDS)
Entity type:Individual
Prefix:DR
First Name:THU-NGA
Middle Name:H
Last Name:ORTEGA
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 1:10721 MAIN ST STE 2200
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-6906
Mailing Address - Country:US
Mailing Address - Phone:703-352-3900
Mailing Address - Fax:703-352-2048
Practice Address - Street 1:10721 MAIN ST STE 2200
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6906
Practice Address - Country:US
Practice Address - Phone:703-352-3900
Practice Address - Fax:703-352-2048
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04010085831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice