Provider Demographics
NPI:1003942384
Name:VU, ANH THI TUYET (DDS)
Entity type:Individual
Prefix:
First Name:ANH
Middle Name:THI TUYET
Last Name:VU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15915 OVERTON ST
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-1043
Mailing Address - Country:US
Mailing Address - Phone:714-418-0470
Mailing Address - Fax:
Practice Address - Street 1:1311 N BROADWAY
Practice Address - Street 2:SUITE B
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-3929
Practice Address - Country:US
Practice Address - Phone:323-983-4000
Practice Address - Fax:323-983-4007
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44554122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist