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NPI Code Detail

MEDICARE: DR. DUC THE VU DDS

MEDICARE: DR. DUC THE VU DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistC41805CA

General Provider Information

NPI Number : 1982660452
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUC THE VU DDS
Provider Business Mailing Address
First Line : 1550 SUPERIOR AVE
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-3653
Country : US
Telephone Number : 949-270-2100
Fax Number : 949-650-6976
Provider Business Practice Location Address
First Line : 1550 SUPERIOR AVE
Second Line :
City : COSTA MESA
State : CA
Zip : 92627-3653
Country : US
Telephone Number : 949-270-2130
Fax Number : 949-650-6976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 04/30/2013

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Directions to “ DR. DUC THE VU DDS” Practice Location

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