Provider Demographics
NPI:1609037506
Name:VO, DOAN-TRANG NGOC (DMD)
Entity Type:Individual
Prefix:DR
First Name:DOAN-TRANG
Middle Name:NGOC
Last Name:VO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3689 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:HAPEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30354-1723
Mailing Address - Country:US
Mailing Address - Phone:404-762-1554
Mailing Address - Fax:404-762-8574
Practice Address - Street 1:3689 UNION AVE
Practice Address - Street 2:
Practice Address - City:HAPEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30354-1723
Practice Address - Country:US
Practice Address - Phone:404-762-1554
Practice Address - Fax:404-762-8574
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013737122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist