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Individual
TRUC N MAI
Active
Individual
TRUC N MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410276
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007804211
—
VA
Enumeration date
08/20/2006
Last updated
10/07/2025
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