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General NPI Number Information
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NPI Number | 1730201732
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Entity Type | Organization
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Legal Business Name | THOMAS TRINH DDS LTD
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 235 N EASTERN AVE #107
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City | LAS VEGAS
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State | NV
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Zip | 89101-4542
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Country | US
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Telephone | 702-452-5751
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Fax | 702-898-5751
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Provider Business Mailing Address
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Address Line | 8817 BARIUM ROCK AVE
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City | LAS VEGAS
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State | NV
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Zip | 89143-1370
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Country | US
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Telephone | 702-645-5965
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. THOMAS N. TRINH
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Credential |
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Telephone | 702-645-5965
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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 | 4555
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License Number State | NV
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