Individual
DR. ANDREW THIEN VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2675 IRVINE AVE STE 116, COSTA MESA, CA 92627-6604
(949) 335-7303
(949) 335-7304
Mailing address
2675 IRVINE AVE STE 116, COSTA MESA, CA 92627-6604
(949) 335-7303
(949) 335-7304
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.026047
OH
1223P0221X
Pediatric Dentistry
30.026047
OH
1223P0221X
Pediatric Dentistry
Primary
64579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0390437
—
OH
Enumeration date
08/11/2015
Last updated
02/26/2025
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