Individual
THANH VIEN DU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3155 W INDIAN SCHOOL RD, PHOENIX, AZ 85017-4035
(602) 263-5126
(602) 263-5070
Mailing address
13513 W EARLL DR, AVONDALE, AZ 85323-3544
(623) 215-2185
(623) 215-2185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6294
AZ
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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