Healthcare Provider Details

I. General information

NPI: 1730755877
Provider Name (Legal Business Name): ALEX H. VO, DMD, P.L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2021
Last Update Date: 05/30/2021
Certification Date: 05/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 SE 131ST AVE STE 207
VANCOUVER WA
98683-4013
US

IV. Provider business mailing address

406 SE 131ST AVE STE 207
VANCOUVER WA
98683-4013
US

V. Phone/Fax

Practice location:
  • Phone: 360-695-1356
  • Fax:
Mailing address:
  • Phone: 360-695-1356
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEX VO
Title or Position: ORTHODONTIST
Credential: DMD, MS
Phone: 503-562-9371