Provider Demographics
NPI:1710046149
Name:TRUONG, AIMEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:
Last Name:TRUONG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25250 NORTHWEST FWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1074
Mailing Address - Country:US
Mailing Address - Phone:281-256-7917
Mailing Address - Fax:281-256-7938
Practice Address - Street 1:25250 NORTHWEST FWY
Practice Address - Street 2:SUITE 250
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-1074
Practice Address - Country:US
Practice Address - Phone:281-256-7917
Practice Address - Fax:281-256-7938
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX219381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice