Provider Demographics
NPI:1881973931
Name:NGUYEN, TRULY NGOC (DDS)
Entity type:Individual
Prefix:MS
First Name:TRULY
Middle Name:NGOC
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13729 RESEARCH BLVD
Mailing Address - Street 2:SUITE 840
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1883
Mailing Address - Country:US
Mailing Address - Phone:512-258-7890
Mailing Address - Fax:
Practice Address - Street 1:13729 RESEARCH BLVD
Practice Address - Street 2:SUITE 840
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1883
Practice Address - Country:US
Practice Address - Phone:512-258-7890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27227122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist