Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 9017 | NC |
NPI | 1013906486 |
---|---|
Provider Name | Dr. Huyen-Chau Vu Dunn |
First Address | Bahama, NC 27503-8963 |
Second Address | Durham, NC 27713-9660 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 09/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5917156 | (05) | NC |