Individual
PHI TRINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E MAIN ST, STRATFORD, CT 06614-5114
(408) 674-6014
Mailing address
123 ELIZABETH ST APT 1S, NEW YORK, NY 10013-4273
(408) 674-6014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13282
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2020
Last updated
10/27/2021
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