| Athena Vu Dds Pllc 3 | |
|
1520 South Blvd Ste 110 Charlotte NC 28203-4799 | |
| (704) 389-5087 | |
| Not Available |
| Full Name | Athena Vu Dds Pllc 3 |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1520 South Blvd Ste 110, Charlotte, North Carolina |
| Authorized Official Name and Position | Athena Vu (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 7045001355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Athena Vu Dds Pllc 3 16308 Autumn Cove Ln Huntersville NC 28078-1327 Ph: (704) 500-1355 | Athena Vu Dds Pllc 3 1520 South Blvd Ste 110 Charlotte NC 28203-4799 Ph: (704) 389-5087 |
| NPI Number | 1114619624 |
|---|---|
| Provider Enumeration Date | 05/23/2023 |
| Last Update Date | 05/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114619624 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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