Provider Demographics
NPI:1316972383
Name:TU, NGOC NU THI (DDS)
Entity type:Individual
Prefix:MRS
First Name:NGOC NU
Middle Name:THI
Last Name:TU
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 1:646 E SANTA CLARA ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-1903
Mailing Address - Country:US
Mailing Address - Phone:408-280-5004
Mailing Address - Fax:408-280-5004
Practice Address - Street 1:646 E SANTA CLARA ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-1903
Practice Address - Country:US
Practice Address - Phone:408-280-5004
Practice Address - Fax:408-280-5004
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41320122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA503111Medicaid