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Organization
TOM VU DENTAL CORP
Active
Organization
TOM VU DENTAL CORP
Active
Other names
La Habra Dental Office
Organization subpart
No
Provider details
NPI number
Authorized official
TOM T VU DMD (DENTIST PRESIDENT)
(714) 357-9958
Entity
Organization
Contact information
Practice address
386 N HARBOR BLVD, LA HABRA, CA 90631
(714) 357-9958
(562) 694-0775
Mailing address
5322 DOVERTON DR, HUNTINGTON BEACH, CA 92649
(714) 377-6691
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
47580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9314001
DENTICAL
CA
Enumeration date
11/17/2006
Last updated
08/22/2020
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