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NPI Code Detail

MEDICARE: VO DENTAL PLLC

MEDICARE: VO DENTAL PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1669325734
Entity Type Code : Organization
Provider Name (Legal Business Name) : VO DENTAL PLLC
Provider Business Mailing Address
First Line : 5693 S JONES BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1969
Country : US
Telephone Number : 702-706-1917
Fax Number :
Provider Business Practice Location Address
First Line : 5693 S JONES BLVD STE 101
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-1969
Country : US
Telephone Number : 702-706-1917
Fax Number :
Authorized Official
Title or Position : CEO
Name : JUSTIN VO
Credential : DMD
Telephone Number : 702-881-1994
Provider Enumeration Date : 02/18/2026
Last Update Date : 02/18/2026

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Directions to “VO DENTAL PLLC ” Practice Location

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