Provider Demographics
NPI:1528280252
Name:VO, DINH LE HUAN (DDS)
Entity type:Individual
Prefix:
First Name:DINH
Middle Name:LE HUAN
Last Name:VO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12302 EUCLID ST.,
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92840
Mailing Address - Country:US
Mailing Address - Phone:714-590-2210
Mailing Address - Fax:714-590-2216
Practice Address - Street 1:12302 EUCLID ST
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840
Practice Address - Country:US
Practice Address - Phone:714-590-2210
Practice Address - Fax:714-590-2216
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA436681223P0700X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG91768 01OtherDENTICAL PRO. ID
CADS0436680Medicare ID - Type UnspecifiedMEDICARE IDENTIFICATION