Organization
TRUONG & PONGMANOPAP DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT TRUONG DDS (OWNER/DENTIST)
(530) 666-2117
Entity
Organization
Contact information
Practice address
255 W COURT ST STE C, WOODLAND, CA 95695-2986
(530) 666-2117
Mailing address
255 W COURT ST STE C, WOODLAND, CA 95695-2986
(530) 666-2117
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
102940
CA
Other
Enumeration date
08/07/2018
Last updated
10/03/2018
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