Healthcare Provider Details

I. General information

NPI: 1932757549
Provider Name (Legal Business Name): HOA V. TRUONG & BICHHUYEN TONG, DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2019
Last Update Date: 08/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10468 BEACH BLVD
STANTON CA
90680-1609
US

IV. Provider business mailing address

10468 BEACH BLVD
STANTON CA
90680-1609
US

V. Phone/Fax

Practice location:
  • Phone: 714-995-5995
  • Fax:
Mailing address:
  • Phone: 714-995-5995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BICHHUYEN TONG
Title or Position: OWNER
Credential: DDS
Phone: 310-531-4775