Organization
DR. VU DENTAL OFFICE, INC.
Active
Other names
Dr. Vu Dental Office, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAI QUOC VU DMD (OFFICER)
(909) 428-0299
Entity
Organization
Contact information
Practice address
10660 SIERRA AVE STE J, FONTANA, CA 92337-7663
(909) 428-0299
(909) 429-8504
Mailing address
10660 SIERRA AVE STE J, FONTANA, CA 92337-7663
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52788
CA
Other
Enumeration date
02/07/2018
Last updated
10/12/2021
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