Provider Demographics
NPI:1205472495
Name:VO, TRISHA-THUY-TRANG (DDS)
Entity type:Individual
Prefix:
First Name:TRISHA-THUY-TRANG
Middle Name:
Last Name:VO
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 1:2414 S FAIRVIEW ST STE 107A
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-5345
Mailing Address - Country:US
Mailing Address - Phone:714-794-2736
Mailing Address - Fax:
Practice Address - Street 1:2414 S FAIRVIEW ST STE 107A
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-5345
Practice Address - Country:US
Practice Address - Phone:323-628-1524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-21
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1057691223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program