Most Relevant Information
Provider Data
| NPI Number: | 1003029778 |
| Provider Name: | NATHAN DUCTHONG VU D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 49241 |
Most Important Dates
| Enumeration Date: | 05/08/2007 |
| Last Updated: | 10/12/2007 |
Provider Practice Location
14001 NEWPORT AVE STE C
TUSTIN
CA
927807830
Practice Location Phone/Fax
| Phone: | 7145088500 |
| Fax: | 7145088011 |
Provider Mailing Location
1009 SOUTH SHAWNEE DRIVE
SANTA ANA
CA
92704
Provider Mailing Phone/Fax
| Phone: | 7147280567 |
| Fax: | 7145088011 |