# DOAN VU DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** La Rosa Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831228790
- **Authorized official:** DR. DOAN DUY VU DDS (OWNER)
- **Authorized official phone:** (408) 272-0919

## Contact information

- **Practice address:** 1870 ALUM ROCK AVE \# B, SAN JOSE, CA 95116-1303
- **Practice address phone:** (408) 272-0919
- **Practice address fax:** (408) 729-8704
- **Mailing address:** 1870 ALUM ROCK AVE \# B, SAN JOSE, CA 95116-1303
- **Mailing address phone:** (408) 272-0919
- **Mailing address fax:** (408) 729-8704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 50013 | CA | Yes |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50013 | CA DENTAL LICENSE NUMBER | CA |