Organization
LE-TRUONG DENTAL 1, INC.
Active
Other names
PREMIER DENTAL OF MARYSVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
HUNG KHANH TRUONG DDS (OWNER/PRESIDENT)
(801) 703-0399
Entity
Organization
Contact information
Practice address
15580 US HIGHWAY 36, MARYSVILLE, OH 43040-9415
(801) 703-0399
Mailing address
3375 RESORT CT, POWELL, OH 43065-9260
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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