Provider Demographics
NPI:1568819613
Name:V.MAI DDS INC
Entity Type:Organization
Organization Name:V.MAI DDS INC
Other - Org Name:PATRIOT DENTAL OF ANAHEIM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VU
Authorized Official - Middle Name:VUONG
Authorized Official - Last Name:MAI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-776-7015
Mailing Address - Street 1:922 S EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-1523
Mailing Address - Country:US
Mailing Address - Phone:714-776-7015
Mailing Address - Fax:714-776-7052
Practice Address - Street 1:922 S EUCLID ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802-1523
Practice Address - Country:US
Practice Address - Phone:714-776-7015
Practice Address - Fax:714-776-7052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty