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Individual

JENNIE VU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
12520 SW 1ST ST, BEAVERTON, OR 97005-0550
(503) 646-5230
Mailing address
12520 SW 1ST ST, BEAVERTON, OR 97005-0550
(503) 646-5230

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D10130
OR
122300000X
Dentist
DE60496474
WA

Other

Enumeration date
08/27/2014
Last updated
10/01/2018
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