Provider Demographics
NPI:1871785550
Name:VU, DUNG MAI (DDS)
Entity type:Individual
Prefix:
First Name:DUNG
Middle Name:MAI
Last Name:VU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4130 S WEBBER DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-9415
Mailing Address - Country:US
Mailing Address - Phone:281-568-8200
Mailing Address - Fax:
Practice Address - Street 1:11201 BELLAIRE BLVD
Practice Address - Street 2:SUITE A18
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-2544
Practice Address - Country:US
Practice Address - Phone:281-568-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice