Provider Demographics
NPI:1417225376
Name:TRAN, VU D (DMD)
Entity Type:Individual
Prefix:DR
First Name:VU
Middle Name:D
Last Name:TRAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6922 LITTLE RIVER TPKE
Mailing Address - Street 2:SUITE #A
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3285
Mailing Address - Country:US
Mailing Address - Phone:703-256-1160
Mailing Address - Fax:703-256-1162
Practice Address - Street 1:6922 LITTLE RIVER TPKE
Practice Address - Street 2:SUITE #A
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3285
Practice Address - Country:US
Practice Address - Phone:703-256-1160
Practice Address - Fax:703-256-1162
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014119721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice