Provider Demographics
NPI:1386772366
Name:VU, THOMAS HOANG (DMD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:HOANG
Last Name:VU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 S MADERA AVE
Mailing Address - Street 2:SUITE #200
Mailing Address - City:KERMAN
Mailing Address - State:CA
Mailing Address - Zip Code:93630-1403
Mailing Address - Country:US
Mailing Address - Phone:559-846-6691
Mailing Address - Fax:
Practice Address - Street 1:275 S MADERA AVE
Practice Address - Street 2:SUITE #200
Practice Address - City:KERMAN
Practice Address - State:CA
Practice Address - Zip Code:93630-1403
Practice Address - Country:US
Practice Address - Phone:559-846-6691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE612714641223G0001X
CA537381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice