Provider Demographics
NPI:1932757549
Name:HOA V. TRUONG & BICHHUYEN TONG, DDS, INC
Entity Type:Organization
Organization Name:HOA V. TRUONG & BICHHUYEN TONG, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BICHHUYEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-531-4775
Mailing Address - Street 1:10468 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:CA
Mailing Address - Zip Code:90680-1609
Mailing Address - Country:US
Mailing Address - Phone:714-995-5995
Mailing Address - Fax:
Practice Address - Street 1:10468 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:CA
Practice Address - Zip Code:90680-1609
Practice Address - Country:US
Practice Address - Phone:714-995-5995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental