Provider Demographics
NPI:1740330158
Name:TRIEU & TRIEU PC
Entity type:Organization
Organization Name:TRIEU & TRIEU PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:D.M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:TUYET-BA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIEU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:215-549-4888
Mailing Address - Street 1:437 W CHEW AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2355
Mailing Address - Country:US
Mailing Address - Phone:215-549-4888
Mailing Address - Fax:215-549-4888
Practice Address - Street 1:437 W CHEW AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-2355
Practice Address - Country:US
Practice Address - Phone:215-549-4888
Practice Address - Fax:215-549-4888
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRIEU & TRIEU FAMILY DENTISTRY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-11
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 024367 L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty