| NPI Details | |
|---|---|
| NPI | 1245381003 |
| Gender | Female |
| Enumeration Date | 01/16/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 1223 E VALLEY BLVD ALHAMBRA CA, 91801, US |
|
| Phone | (626) 284-8144 |
| Fax | (626) 284-8148 |
| Business Location | |
|---|---|
| 27 COLONIAL IRVINE CA, 92620, US |
|
| Phone | (949) 290-2558 |
| Fax | (626) 284-8148 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 122300000X |
| License State | California |
| License Number | 42961 |
| Remove 1245381003 NPI Number | |
According to our database, Phuongtam Thi Truong DDS NPI is 1245381003, taxonomy code is 122300000X and license number is 42961, license state is located at California. Phuongtam Thi Truong DDS physically located at 1223 E Valley Blvd, Alhambra CA, 91801. NPI Number Phuongtam Thi Truong DDS has the Individual type.
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1245381003 NPI number is provided on an as is basis without warranty of any kind. 1245381003 is maintained by the National Plan & Provider Enumeration System. The contents of Phuongtam Thi Truong DDS are for informational purposes only.
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