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Organization
V.MAI DDS INC
Active
Organization
V.MAI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VU MAI DDS (CEO)
(949) 369-7200
Entity
Organization
Contact information
Practice address
810 AVENIDA PICO STE W, SAN CLEMENTE, CA 92673-5624
(949) 369-7200
(949) 369-7700
Mailing address
810 AVENIDA PICO STE W, SAN CLEMENTE, CA 92673-5624
(949) 369-7200
(949) 369-7700
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
04/22/2013
Last updated
09/28/2015
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