Provider Demographics
NPI:1861261125
Name:ANDREW T VO, D.D.S., A PROFESSIONAL CORPORATION.
Entity type:Organization
Organization Name:ANDREW T VO, D.D.S., A PROFESSIONAL CORPORATION.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:THIEN
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:949-335-7303
Mailing Address - Street 1:2675 IRVINE AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-6604
Mailing Address - Country:US
Mailing Address - Phone:949-335-7303
Mailing Address - Fax:949-335-7304
Practice Address - Street 1:2675 IRVINE AVE STE 116
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-6604
Practice Address - Country:US
Practice Address - Phone:949-335-7303
Practice Address - Fax:949-335-7304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty