Organization
MYHANH VU PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYHANH VU (OWNER)
(315) 454-6000
Entity
Organization
Contact information
Practice address
193 RIVER RD, LISBON, CT 06351-3258
(860) 376-8800
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9374
CT
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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