Provider Demographics
NPI:1003776485
Name:AN VU DENTISTRY
Entity type:Organization
Organization Name:AN VU DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AN
Authorized Official - Middle Name:
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-548-9743
Mailing Address - Street 1:9938 BOLSA AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6039
Mailing Address - Country:US
Mailing Address - Phone:714-531-1192
Mailing Address - Fax:714-531-1238
Practice Address - Street 1:9938 BOLSA AVE STE 106
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6039
Practice Address - Country:US
Practice Address - Phone:714-531-1192
Practice Address - Fax:714-531-1238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental