# ATHENA VU DDS PLLC 3

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114619624
- **Authorized official:** DR. ATHENA VU DDS (OWNER/SOLE MEMBER)
- **Authorized official phone:** (704) 500-1355

## Contact information

- **Practice address:** 1520 SOUTH BLVD STE 110, CHARLOTTE, NC 28203-4799
- **Practice address phone:** (704) 389-5087
- **Mailing address:** 16308 AUTUMN COVE LN, HUNTERSVILLE, NC 28078-1327
- **Mailing address phone:** (704) 500-1355

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2023
- **Last updated:** 05/23/2023