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Organization

KURT TRUONG, DDS, MSD, PLLC

Active
Other names
Pleasant Valley Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KURT TRUONG DDS, MSD (OWNER)
(360) 573-3176
Entity
Organization

Contact information

Practice address
14201 NE 20TH AVE, SUITE 3102, VANCOUVER, WA 98686-6410
(360) 573-3176
(360) 571-3276
Mailing address
14201 NE 20TH AVE, SUITE 3102, VANCOUVER, WA 98686-6410
(360) 573-3176
(360) 571-3276

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60299879
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2049798
WA
Enumeration date
07/25/2016
Last updated
07/25/2016
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