Provider Demographics
NPI:1922681246
Name:TRI DENTAL PLLC
Entity Type:Organization
Organization Name:TRI DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TRI
Authorized Official - Middle Name:MINH
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:469-818-1368
Mailing Address - Street 1:9100 VANCE ST APT 218
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-7013
Mailing Address - Country:US
Mailing Address - Phone:469-818-1368
Mailing Address - Fax:
Practice Address - Street 1:2983 W EVANS AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-5507
Practice Address - Country:US
Practice Address - Phone:720-738-8888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental