Provider Demographics
NPI:1457076812
Name:TRINH, ALEX BENJAMIN (DMD)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:BENJAMIN
Last Name:TRINH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2905 SOMERSET PL
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91108-3034
Mailing Address - Country:US
Mailing Address - Phone:626-243-8088
Mailing Address - Fax:
Practice Address - Street 1:1208 W FRANCISQUITO AVE
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-4780
Practice Address - Country:US
Practice Address - Phone:626-917-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108205122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist