Quynh Tram T Truong DDS INC
Dentist, General Practice in Santa Ana, CA. Organization (NPI-2).
NPI number1073733697
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1073733697
- Entity type
- Organization (NPI-2)
- Legal business name
- Quynh Tram T Truong DDS INC
- Organization subpart
- No
- Enumeration date
- Apr 26, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 47426 | CA | Yes |
Other names
- 123 Smile Dental Care (Doing Business As)
Practice location
1641 E 17th StSuite B
Santa Ana, CA 92705-8535
Phone 714-542-7400 · Fax 714-543-3536
Mailing address
1641 E 17th StSuite B
Santa Ana, CA 92705-8535
Phone 714-542-7400 · Fax 714-543-3536
Authorized official
Quynh-Tram Thi Truong
Ceo
7145427400
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