Provider Demographics
NPI:1154815058
Name:VU, TRI MINH (DDS)
Entity Type:Individual
Prefix:
First Name:TRI
Middle Name:MINH
Last Name:VU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2983 W EVANS AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-5507
Mailing Address - Country:US
Mailing Address - Phone:469-818-1368
Mailing Address - Fax:720-738-8888
Practice Address - Street 1:2983 W EVANS AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-5507
Practice Address - Country:US
Practice Address - Phone:469-818-1368
Practice Address - Fax:720-738-8888
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340011223G0001X
CO002041721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice