Provider Demographics
NPI:1790987873
Name:DO, LANVI THUY (DDS)
Entity Type:Individual
Prefix:
First Name:LANVI
Middle Name:THUY
Last Name:DO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9400 BRIGHTON WAY
Mailing Address - Street 2:SUITE #402
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4703
Mailing Address - Country:US
Mailing Address - Phone:310-273-1223
Mailing Address - Fax:310-273-6973
Practice Address - Street 1:9400 BRIGHTON WAY
Practice Address - Street 2:SUITE #402
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4703
Practice Address - Country:US
Practice Address - Phone:310-273-1223
Practice Address - Fax:310-273-6973
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2014-12-10
Deactivation Date:2008-12-24
Deactivation Code:
Reactivation Date:2014-12-10
Provider Licenses
StateLicense IDTaxonomies
CA47364122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist