Provider Demographics
NPI:1720267537
Name:VU, DUNG X (DDS)
Entity Type:Individual
Prefix:
First Name:DUNG
Middle Name:X
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 1:22330 S STERLING BLVD
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-4241
Mailing Address - Country:US
Mailing Address - Phone:703-444-1151
Mailing Address - Fax:
Practice Address - Street 1:22330 S STERLING BLVD
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-4241
Practice Address - Country:US
Practice Address - Phone:703-444-1151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-29
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401410317122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist