Dr. Kevin Thuc Truong, DDS
Dentist, General Practice in Los Angeles, CA. Individual provider (NPI-1).
NPI number1477611762
StatusActive
Last updated in NPPESJan 18, 2010
Details
- NPI
- 1477611762
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Thuc Truong
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Jan 18, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 54640 | CA | Yes |
Practice location
2320 S Robertson Blvd102
Los Angeles, CA 90034-2060
Phone 310-839-8831
Mailing address
2560 S Barrington Ave201
Los Angeles, CA 90064-2879
Phone 310-268-8417
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