1528455086 NPI number — VAN H VUONG DDS & CINDY H CHOU DDS 3, PLLC

Table of content: (NPI 1528455086)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528455086 NPI number — VAN H VUONG DDS & CINDY H CHOU DDS 3, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VAN H VUONG DDS & CINDY H CHOU DDS 3, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ADC KIDS DENTISTRY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528455086
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
34704 11TH PL S # 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FEDERAL WAY
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98003-8730
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-946-5322
Provider Business Mailing Address Fax Number:
253-946-1353

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
34704 11TH PL S # 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FEDERAL WAY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98003-8730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-946-5322
Provider Business Practice Location Address Fax Number:
253-946-1353
Provider Enumeration Date:
04/22/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CHOU
Authorized Official First Name:
CINDY
Authorized Official Middle Name:
HUANG
Authorized Official Title or Position:
VP
Authorized Official Telephone Number:
206-291-6514

Provider Taxonomy Codes

  • Taxonomy code: 122300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223P0221X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)