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Organization
QUYNH TRAM T TRUONG DDS INC
Active
Organization
QUYNH TRAM T TRUONG DDS INC
Active
Other names
123 Smile Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUYNH-TRAM THI TRUONG D.D.S. (CEO)
(714) 542-7400
Entity
Organization
Contact information
Practice address
1641 E 17TH ST, SUITE B, SANTA ANA, CA 92705-8535
(714) 542-7400
(714) 543-3536
Mailing address
1641 E 17TH ST, SUITE B, SANTA ANA, CA 92705-8535
(714) 542-7400
(714) 543-3536
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
47426
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G93018
DENTI-CAL ID NUMBER
CA
Enumeration date
04/26/2007
Last updated
08/22/2020
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