Provider Demographics
NPI:1912118639
Name:VU, VICTORIA M (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:M
Last Name:VU
Suffix:
Gender:F
Credentials:DDS, MSD
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Mailing Address - Street 1:7840 STROUD AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-4923
Mailing Address - Country:US
Mailing Address - Phone:206-331-5215
Mailing Address - Fax:
Practice Address - Street 1:2210 KULSHAN VIEW DR
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-2779
Practice Address - Country:US
Practice Address - Phone:360-424-3811
Practice Address - Fax:360-424-8703
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WADE000101961223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5049390Medicaid