Provider Demographics
NPI:1740718808
Name:UYEN VO, PLLC
Entity type:Organization
Organization Name:UYEN VO, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DDS
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE-UYEN
Authorized Official - Middle Name:THANH-ANH
Authorized Official - Last Name:VO-PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:817-277-1301
Mailing Address - Street 1:3008 W PARK ROW DR STE A
Mailing Address - Street 2:
Mailing Address - City:PANTEGO
Mailing Address - State:TX
Mailing Address - Zip Code:76013-2050
Mailing Address - Country:US
Mailing Address - Phone:817-277-1301
Mailing Address - Fax:
Practice Address - Street 1:3008 W PARK ROW DR STE A
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-2050
Practice Address - Country:US
Practice Address - Phone:817-277-1301
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX311511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty