Provider Demographics
NPI:1427354521
Name:VU, JANE THANH-THAO (DDS)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:THANH-THAO
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 1:816 N DELAWARE ST
Mailing Address - Street 2:# 402
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-1574
Mailing Address - Country:US
Mailing Address - Phone:209-406-3756
Mailing Address - Fax:
Practice Address - Street 1:1210 E ARQUES AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-5421
Practice Address - Country:US
Practice Address - Phone:408-749-9018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA566721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice