Provider Demographics
NPI:1538302542
Name:VO, LAURA NGOAN (RDHAP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:NGOAN
Last Name:VO
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16261 VENUS DRIVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINISTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683
Mailing Address - Country:US
Mailing Address - Phone:714-306-6368
Mailing Address - Fax:310-679-6698
Practice Address - Street 1:13450 HAWTHORNE BLVD
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-5806
Practice Address - Country:US
Practice Address - Phone:310-679-0106
Practice Address - Fax:310-679-6698
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHAP529124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist