Provider Demographics
NPI:1841642402
Name:CAI, PHU-QUY HUU (DDS)
Entity type:Individual
Prefix:
First Name:PHU-QUY
Middle Name:HUU
Last Name:CAI
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 1:10482 SUDLEY MANOR DRIVE
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2966
Mailing Address - Country:US
Mailing Address - Phone:703-369-9100
Mailing Address - Fax:
Practice Address - Street 1:10482 SUDLEY MANOR DRIVE
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2966
Practice Address - Country:US
Practice Address - Phone:703-369-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-07
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014152421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice