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Organization

ATHENA VU DDS PLLC 3

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ATHENA VU DDS (OWNER/SOLE MEMBER)
(704) 500-1355
Entity
Organization

Contact information

Practice address
1520 SOUTH BLVD STE 110, CHARLOTTE, NC 28203-4799
(704) 389-5087
Mailing address
16308 AUTUMN COVE LN, HUNTERSVILLE, NC 28078-1327
(704) 500-1355

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/23/2023
Last updated
05/23/2023
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