Provider Demographics
NPI:1770783904
Name:VO, TRUC THANH LE (DDS)
Entity type:Individual
Prefix:DR
First Name:TRUC
Middle Name:THANH LE
Last Name:VO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:TATE
Other - Middle Name:THANH LE
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:950 W. AVON ROAD SUITE #1
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307
Mailing Address - Country:US
Mailing Address - Phone:248-656-2300
Mailing Address - Fax:
Practice Address - Street 1:950 W. AVON ROAD SUITE #1
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307
Practice Address - Country:US
Practice Address - Phone:248-656-2300
Practice Address - Fax:866-562-0572
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500101223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics