Healthcare Provider Details

I. General information

NPI: 1619301520
Provider Name (Legal Business Name): HUONG THI THUY VO DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2013
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2657 W EDINGER AVE
SANTA ANA CA
92704-3521
US

IV. Provider business mailing address

8522 WESTVIEW DR
HOUSTON TX
77055-4860
US

V. Phone/Fax

Practice location:
  • Phone: 657-346-2006
  • Fax:
Mailing address:
  • Phone: 832-638-0388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number108267
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number108267
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: