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Individual
VU DANG LA
Active
Individual
VU DANG LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401415054
VA
1223P0300X
Periodontics
Primary
RFD000016
PA
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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