Provider Demographics
NPI:1699821801
Name:TO, VINCENT VIET QUOC (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:VINCENT VIET
Middle Name:QUOC
Last Name:TO
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 PRESTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8852
Mailing Address - Country:US
Mailing Address - Phone:972-306-2721
Mailing Address - Fax:
Practice Address - Street 1:4431 W WALNUT ST
Practice Address - Street 2:SUITE A
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-4107
Practice Address - Country:US
Practice Address - Phone:972-485-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216971223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics