Provider Demographics
NPI:1730465899
Name:VAN H VUONG DDS & CINDY H CHOU DDS 2 PLLC
Entity Type:Organization
Organization Name:VAN H VUONG DDS & CINDY H CHOU DDS 2 PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:VUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-291-6515
Mailing Address - Street 1:26228 PACIFIC HWY S
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-6934
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26228 PACIFIC HWY S
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-6934
Practice Address - Country:US
Practice Address - Phone:206-291-6515
Practice Address - Fax:206-291-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603142939261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental