Provider Demographics
NPI:1326458795
Name:VUONG T. DO, LLC
Entity Type:Organization
Organization Name:VUONG T. DO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VUONG
Authorized Official - Middle Name:
Authorized Official - Last Name:DO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-417-3713
Mailing Address - Street 1:9770 S MARYLAND PKWY
Mailing Address - Street 2:#8
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-7142
Mailing Address - Country:US
Mailing Address - Phone:702-463-7300
Mailing Address - Fax:702-754-0229
Practice Address - Street 1:9770 S MARYLAND PKWY
Practice Address - Street 2:#8
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-7142
Practice Address - Country:US
Practice Address - Phone:702-463-7300
Practice Address - Fax:702-754-0229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-06
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV47911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty