Organization
TAM TRUONG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAM TRUONG DMD (OWNER)
(714) 234-1071
Entity
Organization
Contact information
Practice address
5310 TIMUQUANA RD # 8049, JACKSONVILLE, FL 32210-8049
(904) 771-0933
Mailing address
5055 SUNDROP WAY, JACKSONVILLE, FL 32257-6182
(714) 234-1071
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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