# ALICE PHUONG TRINH, DDS, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518214873
- **Authorized official:** DR. ALICE PHUONG TRINH DDS (OWNER)
- **Authorized official phone:** (562) 777-1234

## Contact information

- **Practice address:** 14930 IMPERIAL HWY STE D, LA MIRADA, CA 90638-2100
- **Practice address phone:** (562) 777-1234
- **Practice address fax:** (562) 777-2345
- **Mailing address:** 14930 IMPERIAL HWY STE D, LA MIRADA, CA 90638-2100
- **Mailing address phone:** (562) 777-1234
- **Mailing address fax:** (562) 777-2345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 52010 | CA | Yes |

## Other

- **Enumeration date:** 08/06/2012
- **Last updated:** 08/06/2012