Individual
KIMBERLY TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
825 W SOUTHERN AVE STE 114, PHOENIX, AZ 85041-4720
(602) 272-1170
Mailing address
5120 E HAMPTON AVE APT 1061, MESA, AZ 85206-6792
(714) 260-7484
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011048
AZ
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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