Individual
ANNIE H VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1036 DUNN AVE STE 42, JACKSONVILLE, FL 32218-6365
(904) 714-9909
Mailing address
1036 DUNN AVE STE 42, JACKSONVILLE, FL 32218-6365
(904) 714-9909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN24038
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/23/2019
Last updated
07/29/2019
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