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General NPI Number Information
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NPI Number | 1922922277
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Entity Type | Individual
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Provider Name | KRISTINA VU DMD
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Gender | Female
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 864 PROSPECT ST
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City | LA JOLLA
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State | CA
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Zip | 92037-4200
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Country | US
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Telephone | 858-459-2897
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Fax |
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Provider Business Mailing Address
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Address Line | 3005 OSCEOLA AVE
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City | SAN DIEGO
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State | CA
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Zip | 92117-1612
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Country | US
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Telephone | 858-349-4545
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 113598
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License Number State | CA
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