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NPI Code Detail

MEDICARE: NANCY TRUONG D.D.S

MEDICARE: NANCY TRUONG D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry056997-1NY
21223G0001XGeneral Practice Dentistry30168TX

General Provider Information

NPI Number : 1689095150
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY TRUONG D.D.S
Provider Business Mailing Address
First Line : 2800 KIRBY DR
Second Line : B613
City : HOUSTON
State : TX
Zip : 77098-1273
Country : US
Telephone Number : 917-675-2354
Fax Number :
Provider Business Practice Location Address
First Line : 11020 AIRLINE DR
Second Line :
City : HOUSTON
State : TX
Zip : 77037-1112
Country : US
Telephone Number : 281-272-1959
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2013
Last Update Date : 09/12/2016

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Directions to “ NANCY TRUONG D.D.S” Practice Location

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