Individual
MICHELLE VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 740-2277
Mailing address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1856416
MA
1223P0221X
Pediatric Dentistry
Primary
DN1856416
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110022129
—
MA
Enumeration date
10/31/2013
Last updated
07/22/2020
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