Provider Demographics
NPI:1891001566
Name:NGOC LAN VO D.D.S. INC.
Entity Type:Organization
Organization Name:NGOC LAN VO D.D.S. INC.
Other - Org Name:21 DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NGOC LAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-821-9970
Mailing Address - Street 1:21 W DUARTE RD STE A
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-6969
Mailing Address - Country:US
Mailing Address - Phone:626-821-9970
Mailing Address - Fax:626-821-0996
Practice Address - Street 1:21 W DUARTE RD STE A
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-6969
Practice Address - Country:US
Practice Address - Phone:626-821-9970
Practice Address - Fax:626-821-0996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty