Provider Demographics
NPI:1740859412
Name:VO, DIEP TRAN NGOC (DDS)
Entity type:Individual
Prefix:DR
First Name:DIEP
Middle Name:TRAN NGOC
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 1:977 ASILOMAR TER APT 2
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-1790
Mailing Address - Country:US
Mailing Address - Phone:408-838-6823
Mailing Address - Fax:
Practice Address - Street 1:780 1ST ST
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-4972
Practice Address - Country:US
Practice Address - Phone:408-796-3110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-17
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1062451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice