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Individual
DR. THU THANH TRUONG
Active
Individual
DR. THU THANH TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
37614
CA
122300000X
Dentist
Primary
5593
NE
122300000X
Dentist
M900
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
68-0521566-00
—
NE
05
—
68-0521566-01
—
NE
Enumeration date
03/20/2012
Last updated
03/20/2012
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