Individual
DR. KHANG DANG VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8050 ALONDRA BLVD, SUITE A, PARAMOUNT, CA 90723-4348
(562) 630-5904
(562) 630-0799
Mailing address
8050 ALONDRA BLVD, SUITE A, PARAMOUNT, CA 90723-4348
(562) 630-5904
(562) 630-0799
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS50012
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D50012
—
CA
05
—
G9372801
—
CA
Enumeration date
12/27/2006
Last updated
03/20/2019
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