Individual
AN-RANDY TRUONG VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 N 64TH ST, WACO, TX 76710-4387
(682) 560-5301
Mailing address
3302 GASTON AVE, DALLAS, TX 75246-2013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
41489
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2023
Last updated
07/09/2025
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