Individual
MR. KHAC PHUONG VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
3448 TAYLOR BOULEVARD, LOUISVILLE, KY 40215
(502) 366-6821
Mailing address
3448 TAYLOR BLVD, LOUISVILLE, KY 40215
(502) 366-6821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9408
KY
Other
Enumeration date
05/15/2014
Last updated
12/02/2014
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