Healthcare Provider Details

I. General information

NPI: 1205570207
Provider Name (Legal Business Name): JULIE NGOC VO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4890 S MISSION RD
TUCSON AZ
85746-1100
US

IV. Provider business mailing address

31229 TRIBOROUGH DR
WESLEY CHAPEL FL
33545-8252
US

V. Phone/Fax

Practice location:
  • Phone: 520-908-8797
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD011722
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: