Samantha T Truong, DDS
Dentist in San Jose, CA. Individual provider (NPI-1).
NPI number1497988075
StatusActive
Last updated in NPPESNov 7, 2010
Details
- NPI
- 1497988075
- Entity type
- Individual (NPI-1)
- Name
- Samantha T Truong
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2009
- Last updated
- Nov 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 53956 | CA | Yes |
| 1223P0700X | Dentist, Prosthodontics | 53956 | CA |
Practice location
2664 Berryessa RdSuite 101
San Jose, CA 95132-2925
Phone 408-259-9333
Mailing address
2664 Berryessa RdSuite 101
San Jose, CA 95132-2925
Phone 408-259-9333
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