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NPI Code Detail

MEDICARE: DR. TED KHOI VU D.D.S

MEDICARE:  DR. TED KHOI VU  D.D.S
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 DentistryB43092CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1515-668OTHERCADENTICAL

General Provider Information

NPI Number : 1992823801
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TED KHOI VU D.D.S
Provider Business Mailing Address
First Line : 2344 MCKEE RD
Second Line : #20
City : SAN JOSE
State : CA
Zip : 95116-1616
Country : US
Telephone Number : 408-272-4200
Fax Number : 408-272-2300
Provider Business Practice Location Address
First Line : 2344 MCKEE RD
Second Line : #20
City : SAN JOSE
State : CA
Zip : 95116-1616
Country : US
Telephone Number : 408-272-4200
Fax Number : 408-272-2300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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