Provider Demographics
NPI:1568875201
Name:VO, DANNY
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:
Last Name:VO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4305 AMERICANA DR
Mailing Address - Street 2:APT #10
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-4716
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4305 AMERICANA DR
Practice Address - Street 2:APT #10
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-4716
Practice Address - Country:US
Practice Address - Phone:803-422-1501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2016-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014149001223G0001X
SC84271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice