Individual
THANH HUU TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12444 NW 10TH ST STE 107, YUKON, OK 73099-5844
(405) 708-7702
Mailing address
4110 W KENT CT, BROKEN ARROW, OK 74012-9488
(918) 428-8961
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7593
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
Other
Enumeration date
04/20/2022
Last updated
05/11/2023
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