# KURT TRUONG, DDS, MSD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pleasant Valley Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093268161
- **Authorized official:** DR. KURT TRUONG DDS, MSD (OWNER)
- **Authorized official phone:** (360) 573-3176

## Contact information

- **Practice address:** 14201 NE 20TH AVE, SUITE 3102, VANCOUVER, WA 98686-6410
- **Practice address phone:** (360) 573-3176
- **Practice address fax:** (360) 571-3276
- **Mailing address:** 14201 NE 20TH AVE, SUITE 3102, VANCOUVER, WA 98686-6410
- **Mailing address phone:** (360) 573-3176
- **Mailing address fax:** (360) 571-3276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DE60299879 | WA | Yes |

## Other

- **Enumeration date:** 07/25/2016
- **Last updated:** 07/25/2016