Individual
QUYNHMAI TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
101 MASON ST, CREWE, VA 23930-1745
(434) 645-9602
Mailing address
13607 PINE REACH DR, CHESTERFIELD, VA 23832-2743
(804) 647-2784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410607
VA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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