Healthcare Provider Details

I. General information

NPI: 1417607789
Provider Name (Legal Business Name): LINDA TRUONG DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 MESA DR
OCEANSIDE CA
92054-3756
US

IV. Provider business mailing address

2210 MESA DR
OCEANSIDE CA
92054-3756
US

V. Phone/Fax

Practice location:
  • Phone: 760-736-6767
  • Fax:
Mailing address:
  • Phone: 760-736-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number108392
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: