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MISS DAO TIEN TRUONG

>> Dental Assistant >> Dental Providers

Registrant NPI Number: 1225650583

Individual Registrant:
MISS DAO TIEN TRUONG 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5162 WHITTIER BLVD  EAST LOS ANGELES, CA 90022-3932 US
Tel: 323-510-5920  Fax: --

Contact information for business:
3221 FALLING LEAF AVE  ROSEMEAD, CA 91770-2430 US
Tel: 626-409-8187  Fax: --

Registration Information:
NPI: 1225650583
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y126800000XDental Providers
Dental Assistant
CARDA73684

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RDA73684CA05




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