Organization
ATHENA VU DDS PLLC.
Active
Other names
Premier Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ATHENA VU DDS (DENTIST/OWNER)
(704) 500-1355
Entity
Organization
Contact information
Practice address
1122 NORTH 6TH STREET, ALBEMARLE, NC 28001
(704) 982-5516
(704) 983-8985
Mailing address
1122 NORTH 6TH STREET, ALBEMARLE, NC 28001
(704) 982-5516
(704) 983-8985
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918823
—
NC
Enumeration date
06/18/2015
Last updated
06/22/2015
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