Provider Demographics
NPI:1689975419
Name:VU, GALANG T (DMD)
Entity Type:Individual
Prefix:DR
First Name:GALANG
Middle Name:T
Last Name:VU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6025 CUMMING HWY
Mailing Address - Street 2:SUITE 610
Mailing Address - City:SUGAR HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30518-5726
Mailing Address - Country:US
Mailing Address - Phone:678-482-5170
Mailing Address - Fax:
Practice Address - Street 1:6025 CUMMING HWY
Practice Address - Street 2:SUITE 610
Practice Address - City:SUGAR HILL
Practice Address - State:GA
Practice Address - Zip Code:30518-5726
Practice Address - Country:US
Practice Address - Phone:678-482-5170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-10
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014193122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist