Individual
DR. KEVIN HIEU VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S., C.D.T
Contact information
Practice address
301 EAST HWY 377 STE 100, GRANBURY, TX 76048-1201
(817) 579-0600
Mailing address
2236 BALD EAGLE WAY, GRAND PRAIRIE, TX 75052-4138
(225) 636-0024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6453
LA
1223P0700X
Prosthodontics
Primary
33331
TX
Other
Enumeration date
06/30/2014
Last updated
07/21/2022
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