Provider Demographics
NPI:1972631463
Name:VU, MAI CHI SAMANTHA (DMD , MS)
Entity type:Individual
Prefix:DR
First Name:MAI CHI
Middle Name:SAMANTHA
Last Name:VU
Suffix:
Gender:F
Credentials:DMD , MS
Other - Prefix:DR
Other - First Name:SAMANTHA
Other - Middle Name:
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD , MS
Mailing Address - Street 1:3336 E CHANDLER HEIGHTS RD
Mailing Address - Street 2:BUILDING B, SUITE 111
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85297-4259
Mailing Address - Country:US
Mailing Address - Phone:480-988-0028
Mailing Address - Fax:480-988-6414
Practice Address - Street 1:3336 E CHANDLER HEIGHTS RD
Practice Address - Street 2:BUILDING B, SUITE 111
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-4259
Practice Address - Country:US
Practice Address - Phone:480-988-0028
Practice Address - Fax:480-988-6414
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD60241223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics