Individual
DR. BENJAMIN TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7018
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-7018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D0010370
AZ
1223G0001X
General Practice Dentistry
2021041223
MO
Other
Enumeration date
05/10/2019
Last updated
01/27/2022
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