Provider Demographics
NPI:1881730778
Name:DO, ANH THU (DDS)
Entity type:Individual
Prefix:DR
First Name:ANH
Middle Name:THU
Last Name:DO
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 1:4908 MONUMENT AVE
Mailing Address - Street 2:SUITE #202
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-3613
Mailing Address - Country:US
Mailing Address - Phone:804-358-3842
Mailing Address - Fax:804-358-3949
Practice Address - Street 1:4908 MONUMENT AVENUE
Practice Address - Street 2:SUITE #202
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230
Practice Address - Country:US
Practice Address - Phone:804-358-3842
Practice Address - Fax:804-358-3949
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0077521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice