Provider Demographics
NPI:1326273160
Name:VU, DUY ANH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DUY
Middle Name:ANH
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 1:50 COUNTY ROAD B E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-1927
Mailing Address - Country:US
Mailing Address - Phone:651-490-1200
Mailing Address - Fax:
Practice Address - Street 1:50 COUNTY ROAD B E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-1927
Practice Address - Country:US
Practice Address - Phone:651-490-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-22
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12683122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist