Individual
TIFFANY PHUONG LAN VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
5910 EXETER CT, SAN JOSE, CA 95138-2365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.027563
OH
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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