Individual
TRUNG DOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 990-7558
Mailing address
874 PURCHASE ST, NEW BEDFORD, MA 02740-6232
(508) 992-6553
(508) 990-7558
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21792
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145148
GUARDIAN
MA
01
—
1811004823
NEIGHBORHOOD HEALTH PLAN
MA
01
—
42675800
DELTA DENTAL
MA
01
—
8104-5
BCBSRI
RI
01
—
AA83614
HARVARD PILGRIM
MA
05
—
TH23278
—
MA
01
—
X09664
BCBSMA
MA
Enumeration date
08/24/2006
Last updated
01/30/2008
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