Provider Demographics
NPI:1427108612
Name:VO, LINH NHUPHUONG (DDS)
Entity type:Individual
Prefix:DR
First Name:LINH
Middle Name:NHUPHUONG
Last Name:VO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LINH
Other - Middle Name:
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:18717 VIA PRINCESSA PARKWAY
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387
Mailing Address - Country:US
Mailing Address - Phone:661-252-5060
Mailing Address - Fax:
Practice Address - Street 1:18717 VIA PRINCESSA PARKWAY
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91387
Practice Address - Country:US
Practice Address - Phone:661-252-5060
Practice Address - Fax:661-252-5059
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA497021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice