Individual
THANH VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18726 S NOGALES HWY STE 100, GREEN VALLEY, AZ 85614
(520) 625-4850
Mailing address
2218 W RANCHO DR, PHOENIX, AZ 85015-2330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D010006
AZ
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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