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NPI Code Detail

MEDICARE: BRIAN VU DMD

MEDICARE: BRIAN VU DMD
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
1122300000XDentist2901602552MI
21223G0001XGeneral Practice Dentistry2024025259MO

General Provider Information

NPI Number : 1295424257
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN VU DMD
Provider Business Mailing Address
First Line : 1270 STRASSNER DR UNIT 3110
Second Line :
City : BRENTWOOD
State : MO
Zip : 63144-1885
Country : US
Telephone Number : 714-331-7492
Fax Number :
Provider Business Practice Location Address
First Line : 21 MUNICIPAL DR
Second Line :
City : ARNOLD
State : MO
Zip : 63010-1012
Country : US
Telephone Number : 844-853-8937
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2023
Last Update Date : 05/06/2025

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Directions to “ BRIAN VU DMD” Practice Location

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