Provider Demographics
NPI:1407134711
Name:TRUONG, XUAN QUYEN LE (DDS)
Entity Type:Individual
Prefix:DR
First Name:XUAN QUYEN
Middle Name:LE
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 1:5547 HIGHWAY 6 NORTH
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084
Mailing Address - Country:US
Mailing Address - Phone:832-427-1797
Mailing Address - Fax:832-427-1455
Practice Address - Street 1:5547 HIGHWAY 6 N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-1827
Practice Address - Country:US
Practice Address - Phone:832-427-1797
Practice Address - Fax:832-427-1455
Is Sole Proprietor?:No
Enumeration Date:2011-08-03
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX272591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice