Provider Demographics
NPI:1619099223
Name:VU, HENRY HAI (DDS)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:HAI
Last Name:VU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7165 FAWN HILLS LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-3412
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3107 LONE TREE WAY
Practice Address - Street 2:SUITE A
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-4980
Practice Address - Country:US
Practice Address - Phone:925-757-5081
Practice Address - Fax:925-757-4979
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA538871223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics