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Provider Information for 1740485184

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. MICHELLE TRUONG D.D.S.

Gender: FEMALE

Individual NPI: 1740485184

Calendar   Last Updated:  2013-02-25
  Certification Date: 

Details

Name Value
NPI 1740485184
Enumeration Date 2007-06-17
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 11416 FM 620 N SUITE K
AUSTIN, TX 78726-1161
United States

Phone: 512-382-7123 | Fax: 512-432-5506
View Map External Link
Primary Practice Address 11416 FM 620 N SUITE K
AUSTIN, TX 78726-1161
United States

Phone: 512-382-7123 | Fax: 512-432-5506
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice TX 19143