Individual
DIEU VO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 STATION WAY STE A, ARROYO GRANDE, CA 93420-3383
(805) 481-1884
Mailing address
1395 CENTER DR, GAINESVILLE, FL 32610-3006
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS105254
CA
122300000X
Dentist
Primary
DRPM2607
FL
Other
Enumeration date
08/23/2020
Last updated
07/20/2023
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