Provider Demographics
NPI:1235304650
Name:TRUONG, NHU (DDS)
Entity Type:Individual
Prefix:DR
First Name:NHU
Middle Name:
Last Name:TRUONG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16471 BERNARDO CENTER DR
Mailing Address - Street 2:SUITE 200 B
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2523
Mailing Address - Country:US
Mailing Address - Phone:858-451-2304
Mailing Address - Fax:
Practice Address - Street 1:16471 BERNARDO CENTER DR
Practice Address - Street 2:SUITE 200 B
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2523
Practice Address - Country:US
Practice Address - Phone:858-451-2304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-26
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA456271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice