Provider Demographics
NPI:1932125937
Name:VU, JOSEPH TUAN (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:TUAN
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 1:675 N BROADWAY
Mailing Address - Street 2:SUITE #E
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-1867
Mailing Address - Country:US
Mailing Address - Phone:760-741-5121
Mailing Address - Fax:760-741-4930
Practice Address - Street 1:675 N BROADWAY
Practice Address - Street 2:SUITE #E
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-1867
Practice Address - Country:US
Practice Address - Phone:760-741-5121
Practice Address - Fax:760-741-4930
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA490221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice