Provider Demographics
NPI:1285715987
Name:VO, VU MINH (DMD)
Entity type:Individual
Prefix:
First Name:VU
Middle Name:MINH
Last Name:VO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16952 W BELL RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-8951
Mailing Address - Country:US
Mailing Address - Phone:623-474-3841
Mailing Address - Fax:623-474-3865
Practice Address - Street 1:16952 W BELL RD
Practice Address - Street 2:SUITE 301
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-8951
Practice Address - Country:US
Practice Address - Phone:623-474-3841
Practice Address - Fax:623-474-3865
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ67181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice