Organization
NGATRUONG PA
Active
Other names
MARIA DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANHNGA THI TRUONG (PRESIDENT)
(718) 930-9981
Entity
Organization
Contact information
Practice address
15355 BROOKHURST ST STE 101, WESTMINSTER, CA 92683-7071
(718) 930-9981
Mailing address
15355 BROOKHURST ST STE 101, WESTMINSTER, CA 92683-7071
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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