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Organization
TAN D. VU OD, INC
Active
Organization
TAN D. VU OD, INC
Active
Other names
Wildomar Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN DUY VU O.D. (PRESIDENT)
(951) 678-7690
Entity
Organization
Contact information
Practice address
34859 FREDRICK STREET, SUITE 109, WILDOMAR, CA 92595-2595
(951) 678-7690
(951) 837-4816
Mailing address
34859 FREDRICK STREET, SUITE 109, WILDOMAR, CA 92595-2595
(951) 678-7690
(951) 837-4816
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12670T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0126700
—
CA
Enumeration date
04/18/2007
Last updated
07/08/2011
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