Individual
ETHAN TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1801 BROADWAY ST, GALVESTON, TX 77550-4912
(409) 762-8443
Mailing address
3433 COVE VIEW BLVD APT 3517, GALVESTON, TX 77554-8188
(678) 200-6508
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33975
TX
122300000X
Dentist
4066
AR
Other
Enumeration date
07/15/2015
Last updated
09/11/2020
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