Individual
CLARA VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
777 DELTONA BLVD STE 9, DELTONA, FL 32725-7174
(386) 574-4407
Mailing address
777 DELTONA BLVD STE 9, DELTONA, FL 32725-7174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 21933
FL
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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