Healthcare Provider Details

I. General information

NPI: 1487418711
Provider Name (Legal Business Name): DR VO DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2024
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2657 W EDINGER AVE
SANTA ANA CA
92704-3521
US

IV. Provider business mailing address

2657 W EDINGER AVE
SANTA ANA CA
92704-3521
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. HUONG VO
Title or Position: CEO
Credential: DDS
Phone: 832-638-0388