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MISS DAO TIEN TRUONG
>> Dental Assistant >> Dental ProvidersRegistrant NPI Number: 1225650583
Individual Registrant:MISS DAO TIEN TRUONG
Gender: F
Not Sole Proprietor
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: --
Tel: 323-510-5920 Fax: --
Contact information for business:
3221 FALLING LEAF AVE ROSEMEAD, CA 91770-2430 US
Tel: 626-409-8187 Fax: --
Tel: 626-409-8187 Fax: --
Registration Information:
NPI: 1225650583
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 126800000X | Dental Providers Dental Assistant | CA | RDA73684 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RDA73684 | CA | 05 |
