Provider Demographics
NPI:1336544048
Name:VO, TIFFANY THUY TRINH (DDS)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY THUY TRINH
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 1:18952 BROOKHURST ST
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-7306
Mailing Address - Country:US
Mailing Address - Phone:714-716-1155
Mailing Address - Fax:
Practice Address - Street 1:18952 BROOKHURST ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-7306
Practice Address - Country:US
Practice Address - Phone:714-716-1155
Practice Address - Fax:714-462-4421
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-24
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1021031223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice