Individual
DR. JORDAN TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4325 AIRLINE DR, BOSSIER CITY, LA 71111-3923
(318) 742-9333
(318) 747-9089
Mailing address
6419 N VANDIVER RD APT 2110, SAN ANTONIO, TX 78209-4483
(650) 773-6408
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7580
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2022
Last updated
07/30/2024
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