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Individual

DUC HUU TRUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1775 WASHINGTON ST, UNIDENT DENTAL CENTER, HANOVER, MA 02339
(781) 826-8866
(780) 826-1474
Mailing address
58 EAST BORDER ROAD, MALDEN, MA 02148
(781) 325-5353

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
18611
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0280259
MASS HEALTH
MA
Enumeration date
04/18/2007
Last updated
07/08/2007
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