Provider Demographics
NPI:1316600448
Name:TRU DENTAL LLC
Entity Type:Organization
Organization Name:TRU DENTAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHINH
Authorized Official - Middle Name:N
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-208-0002
Mailing Address - Street 1:18220 CONTOUR RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2623
Mailing Address - Country:US
Mailing Address - Phone:301-208-0002
Mailing Address - Fax:888-472-5735
Practice Address - Street 1:18220 CONTOUR RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20877-2623
Practice Address - Country:US
Practice Address - Phone:301-208-0002
Practice Address - Fax:888-472-5735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty