# DR. THU THANH TRUONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1932474186
- **Gender:** Man
- **Credential:** D.D.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 37614 | CA | — |
| 122300000X | Dentist | 5593 | NE | Yes |
| 122300000X | Dentist | M900 | SD | — |

## Other

- **Enumeration date:** 03/20/2012
- **Last updated:** 03/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 68-0521566-00 | — | NE |
| 05 | — | 68-0521566-01 | — | NE |