Individual
CHRISTINE VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1025 VEY WAY, THE DALLES, OR 97058-1066
(541) 370-7120
Mailing address
10765 GREEN VALLEY DR, GILROY, CA 95020-9316
(408) 829-4826
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D11175
OR
122300000X
Dentist
DN23228
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2017
Last updated
01/17/2020
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