Provider Demographics
NPI:1760798896
Name:TON, TRIEU PHUOC (DDS)
Entity Type:Individual
Prefix:MR
First Name:TRIEU
Middle Name:PHUOC
Last Name:TON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6471 LONE TREE WAY STE 301
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-5265
Mailing Address - Country:US
Mailing Address - Phone:925-453-2333
Mailing Address - Fax:925-453-2326
Practice Address - Street 1:2199 MAIN ST
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:CA
Practice Address - Zip Code:94561-3303
Practice Address - Country:US
Practice Address - Phone:925-600-8020
Practice Address - Fax:925-452-6323
Is Sole Proprietor?:No
Enumeration Date:2010-08-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA594811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice