Individual
MISS LOAN KIM VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2424 SW 111TH ST, OKLAHOMA CITY, OK 73170-3246
(405) 413-8006
Mailing address
2424 SW 111TH ST, OKLAHOMA CITY, OK 73170-3246
(405) 413-8006
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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