Provider Demographics
NPI:1942376975
Name:VO, HANH (DMD)
Entity Type:Individual
Prefix:DR
First Name:HANH
Middle Name:
Last Name:VO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1002 E 17TH ST
Mailing Address - Street 2:STE D
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-2501
Mailing Address - Country:US
Mailing Address - Phone:714-973-0344
Mailing Address - Fax:
Practice Address - Street 1:2360 PACIFIC AVE
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-3051
Practice Address - Country:US
Practice Address - Phone:562-595-0731
Practice Address - Fax:562-595-6462
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA543141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice