Provider Demographics
NPI:1639153653
Name:THANH HUONG TRUONG DDS, PC.
Entity Type:Organization
Organization Name:THANH HUONG TRUONG DDS, PC.
Other - Org Name:RT 7 & PATRICK HENRY DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THANH HUONG
Authorized Official - Middle Name:THI
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:703-533-3960
Mailing Address - Street 1:6201 LEESBURG PIKE
Mailing Address - Street 2:STE 401
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2201
Mailing Address - Country:US
Mailing Address - Phone:703-533-3960
Mailing Address - Fax:703-533-3889
Practice Address - Street 1:6201 LEESBURG PIKE
Practice Address - Street 2:STE 401
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044-2201
Practice Address - Country:US
Practice Address - Phone:703-533-3960
Practice Address - Fax:703-533-3839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVA04016103161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty