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Individual
NGOC CHAU VU
Active
Individual
NGOC CHAU VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
31274
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
MEDICARE ORDER & REFER ONLY
TX
01
—
194264305
DRIVERS LICENSE
UT
01
—
3553547-01
MEDICAID EHR TYPR TPI #
TX
Enumeration date
06/19/2015
Last updated
05/17/2023
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