| Hong T Vu Dental Corporation | |
|
3000 E Anaheim St Long Beach CA 90804-3802 | |
| (562) 438-9437 | |
| (562) 438-9430 |
| Full Name | Hong T Vu Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 3000 E Anaheim St, Long Beach, California |
| Authorized Official Name and Position | Hong T Vu (PRESIDENT) |
| Authorized Official Contact | 5624389437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hong T Vu Dental Corporation 3000 E Anaheim St Long Beach CA 90804-3802 Ph: (562) 438-9437 | Hong T Vu Dental Corporation 3000 E Anaheim St Long Beach CA 90804-3802 Ph: (562) 438-9437 |
| NPI Number | 1932280971 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 03/02/2009 |
| Medicare PECOS PAC ID | 3476967662 |
|---|---|
| Medicare Enrollment ID | O20210129000866 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932280971 | NPI | - | NPPES |
| G9325601 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45418 (California) | Primary |
| Provider Name | Hong T Vu-rodrigues |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255343588 PECOS PAC ID: 8022308824 Enrollment ID: I20210205001291 |
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