Provider Demographics
NPI:1386180446
Name:VU & THIEN DENTAL COMPANY, PLLC
Entity Type:Organization
Organization Name:VU & THIEN DENTAL COMPANY, PLLC
Other - Org Name:TIME SQUARE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:VU
Authorized Official - Middle Name:
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-352-2980
Mailing Address - Street 1:2615 W PIONEER PKWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-3619
Mailing Address - Country:US
Mailing Address - Phone:972-352-2980
Mailing Address - Fax:972-352-2990
Practice Address - Street 1:2615 W PIONEER PKWY
Practice Address - Street 2:SUITE 102
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-3619
Practice Address - Country:US
Practice Address - Phone:972-352-2980
Practice Address - Fax:972-352-2990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-13
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty