Individual
DR. KELLY M TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
55 CROSSPOINT PARKWAY, SUITE 130, GETZVILLE, NY 14068-1615
(716) 639-5900
(716) 639-5901
Mailing address
55 CROSSPOINT PARKWAY, SUITE 130, GETZVILLE, NY 14068-1615
(716) 639-5900
(716) 639-5901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051944
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02647074
—
NY
Enumeration date
07/21/2006
Last updated
05/03/2011
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