Individual
CONG VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
1900 TRUXTUN AVE, BAKERSFIELD, CA 93301-5032
(714) 519-5962
Mailing address
14621 ALDER LN, TUSTIN, CA 92780-6738
(714) 519-5962
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
106947
CA
Other
Enumeration date
10/28/2016
Last updated
09/15/2021
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