Provider Demographics
NPI:1265250088
Name:VU, ALEXANDER ANH-NAM (DMD)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:ANH-NAM
Last Name:VU
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:580 TORLAND CT
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-2468
Mailing Address - Country:US
Mailing Address - Phone:408-636-3503
Mailing Address - Fax:
Practice Address - Street 1:975 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063-1714
Practice Address - Country:US
Practice Address - Phone:650-629-3983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110861122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist