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NPI Code Detail

MEDICARE: THANH VU DMD

MEDICARE: THANH 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
11223G0001XGeneral Practice Dentistry22412TX

General Provider Information

NPI Number : 1518045939
Entity Type Code : Individual
Provider Name (Legal Business Name) : THANH VU DMD
Provider Business Mailing Address
First Line : 6300 WEST LOOP S STE 650
Second Line :
City : BELLAIRE
State : TX
Zip : 77401-2997
Country : US
Telephone Number : 713-663-7960
Fax Number : 713-349-8027
Provider Business Practice Location Address
First Line : 5819 GULF FWY STE 600
Second Line :
City : HOUSTON
State : TX
Zip : 77023-5353
Country : US
Telephone Number : 713-923-5499
Fax Number : 713-923-5752
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2006
Last Update Date : 07/08/2011

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Directions to “ THANH VU DMD” Practice Location

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