Provider Demographics
NPI:1770669830
Name:STEVEN TRUONG D.D.S, INC.
Entity Type:Organization
Organization Name:STEVEN TRUONG D.D.S, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN-HUNG
Authorized Official - Middle Name:QUOC
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-677-3033
Mailing Address - Street 1:1018 S REXFORD LN
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92808-2334
Mailing Address - Country:US
Mailing Address - Phone:714-280-9844
Mailing Address - Fax:
Practice Address - Street 1:39755 MURRIETA HOT SPRINGS RD
Practice Address - Street 2:SUITE D 140
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-9101
Practice Address - Country:US
Practice Address - Phone:951-677-3033
Practice Address - Fax:951-677-3112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA474271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty