Provider Demographics
NPI:1487757704
Name:VU, TRANG THUY (DDS)
Entity type:Individual
Prefix:MRS
First Name:TRANG
Middle Name:THUY
Last Name:VU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:TRANG
Other - Middle Name:THUY
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1040A MCLAUGHLIN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122
Mailing Address - Country:US
Mailing Address - Phone:408-287-8585
Mailing Address - Fax:408-287-8588
Practice Address - Street 1:1040A MCLAUGHLIN AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122
Practice Address - Country:US
Practice Address - Phone:408-287-8585
Practice Address - Fax:408-287-8588
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42202122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist