Provider Demographics
NPI:1982813960
Name:VU, LIEM (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIEM
Middle Name:
Last Name:VU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4975 S FORT APACHE RD
Mailing Address - Street 2:STE. 107
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-1702
Mailing Address - Country:US
Mailing Address - Phone:702-248-2748
Mailing Address - Fax:702-248-3748
Practice Address - Street 1:4975 S FORT APACHE RD
Practice Address - Street 2:STE. 107
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-1702
Practice Address - Country:US
Practice Address - Phone:702-248-2748
Practice Address - Fax:702-248-3748
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3781122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist