Organization
KURT TRUONG, DDS, MSD, PLLC
Active
Other names
Pleasant Valley Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KURT TRUONG, DDS, MSD DDS, MSD (OWNER)
(360) 573-3176
Entity
Organization
Contact information
Practice address
14201 NE 20TH AVE STE C102, VANCOUVER, WA 98686-6414
(360) 573-3176
(360) 573-3716
Mailing address
14201 NE 20TH AVE STE C102, VANCOUVER, WA 98686-6414
(360) 573-3176
(360) 573-3716
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285998336
—
WA
Enumeration date
10/19/2023
Last updated
11/14/2023
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