Organization
PHAN HUYNH DDS MS APC
Active
Other names
Trident Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHAN HUYNH DDS, MS (CEO)
(626) 841-9347
Entity
Organization
Contact information
Practice address
7056 ARCHIBALD AVE STE 105, EASTVALE, CA 92880-8714
(951) 407-1119
Mailing address
12268 OLDENBERG CT, RANCHO CUCAMONGA, CA 91739-9037
(626) 841-9347
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
03/13/2024
Last updated
06/25/2026
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