Provider Demographics
NPI:1568662427
Name:VU, BOIHOANG T (DDS)
Entity Type:Individual
Prefix:DR
First Name:BOIHOANG
Middle Name:T
Last Name:VU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:CECILE
Other - Middle Name:B
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:12A WESTBANK EXPY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70053-3659
Mailing Address - Country:US
Mailing Address - Phone:504-362-1776
Mailing Address - Fax:504-362-3400
Practice Address - Street 1:12A WESTBANK EXPY
Practice Address - Street 2:SUITE 200
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70053-3659
Practice Address - Country:US
Practice Address - Phone:504-362-1776
Practice Address - Fax:504-362-3400
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA54321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice