KHAC PHUONG VU

LOUISVILLE, KY
NPI1447661210
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  9408)
Enumeration Date2014-05-15
Last Update Date2014-12-02
Business Address
Mr. KHAC PHUONG VU D.M.D
3448 TAYLOR BOULEVARD
LOUISVILLE, KY 40215
Phone number: 502-366-6821
Mailing Address
Mr. KHAC PHUONG VU D.M.D
3448 TAYLOR BLVD
LOUISVILLE, KY 40215
Phone number: 502-366-6821