Provider Demographics
NPI:1063142347
Name:VU, TRAM ANH MONIQUE CAO (DDS)
Entity type:Individual
Prefix:DR
First Name:TRAM ANH MONIQUE
Middle Name:CAO
Last Name:VU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 TORREY PINES DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-3632
Mailing Address - Country:US
Mailing Address - Phone:504-756-4312
Mailing Address - Fax:
Practice Address - Street 1:420 TOWN CENTER PKWY
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-8000
Practice Address - Country:US
Practice Address - Phone:985-214-1540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA73381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice