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General NPI Number Information
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NPI Number | 1609069731
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Entity Type | Organization
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Legal Business Name | HOA TRUONG DMD, INC.
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 02/27/2020
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Provider Practice Location Address
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Address Line | 27131 ALISO CREEK RD STE 120
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3361
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Country | US
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Telephone | 949-362-3668
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Fax | 949-362-4683
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Provider Business Mailing Address
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Address Line | 27131 ALISO CREEK RD STE 120
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3361
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Country | US
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Telephone | 949-362-3668
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Fax | 949-362-4683
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Authorized Official
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Title or Position | DMD, OWNER
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Name | DR. HOA VU TRUONG
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Credential | DMD
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Telephone | 949-362-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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