Individual
MISS DAO TIEN TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5162 WHITTIER BLVD, EAST LOS ANGELES, CA 90022-3932
(323) 510-5920
Mailing address
3221 FALLING LEAF AVE, ROSEMEAD, CA 91770-2430
(626) 409-8187
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
RDA73684
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDA73684
—
CA
Enumeration date
05/09/2020
Last updated
05/09/2020
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