Provider Demographics
NPI:1982360293
Name:THANH T. PHAN DDS, HARRY VUU DDS INC
Entity Type:Organization
Organization Name:THANH T. PHAN DDS, HARRY VUU DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:THANH
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-482-5862
Mailing Address - Street 1:2202 TERN BAY LN
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-2861
Mailing Address - Country:US
Mailing Address - Phone:714-482-5862
Mailing Address - Fax:
Practice Address - Street 1:9746 WESTMINSTER AVE STE C
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-2984
Practice Address - Country:US
Practice Address - Phone:714-638-5513
Practice Address - Fax:714-638-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental