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General NPI Number Information
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NPI Number | 1003776485
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Entity Type | Organization
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Legal Business Name | AN VU DENTISTRY
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 9938 BOLSA AVE STE 106
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City | WESTMINSTER
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State | CA
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Zip | 92683-6039
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Country | US
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Telephone | 714-531-1192
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Fax | 714-531-1238
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Provider Business Mailing Address
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Address Line | 9938 BOLSA AVE STE 106
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City | WESTMINSTER
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State | CA
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Zip | 92683-6039
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Country | US
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Telephone | 714-531-1192
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Fax | 714-531-1238
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Authorized Official
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Title or Position | CEO
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Name | AN VU
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Credential | DDS
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Telephone | 714-548-9743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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