Provider Demographics
NPI:1730103482
Name:RTRUONG, DCHU, DDS & ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:RTRUONG, DCHU, DDS & ASSOCIATES, P.A.
Other - Org Name:ALDINE DENTAL SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:Q
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-219-1819
Mailing Address - Street 1:5162 ALDINE MAIL RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77039-3802
Mailing Address - Country:US
Mailing Address - Phone:281-219-1819
Mailing Address - Fax:281-219-2060
Practice Address - Street 1:5162 ALDINE MAIL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77039-3802
Practice Address - Country:US
Practice Address - Phone:281-219-1819
Practice Address - Fax:281-219-2060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG60065-1OtherTEXAS CHIP