Provider Demographics
NPI:1609069731
Name:HOA TRUONG DMD, INC.
Entity Type:Organization
Organization Name:HOA TRUONG DMD, INC.
Other - Org Name:LAUREN HOA TRUONG DMD A PROFESSIONAL DENTAL CORPORATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DMD, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOA
Authorized Official - Middle Name:VU
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:949-362-3668
Mailing Address - Street 1:27131 ALISO CREEK RD STE 120
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-3361
Mailing Address - Country:US
Mailing Address - Phone:949-362-3668
Mailing Address - Fax:949-362-4683
Practice Address - Street 1:27131 ALISO CREEK RD STE 120
Practice Address - Street 2:
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-3361
Practice Address - Country:US
Practice Address - Phone:949-362-3668
Practice Address - Fax:949-362-4683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty