Individual
CALVIN THAI KHANG TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1103 S HARBOR BLVD STE D, SANTA ANA, CA 92704-2347
(714) 839-3926
Mailing address
10136 CLAUSER ST, SAN DIEGO, CA 92126-5630
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
107366
CA
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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