Provider Demographics
NPI:1194292094
Name:TRUNG X TRINH DMD LLC
Entity type:Organization
Organization Name:TRUNG X TRINH DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TRUNG
Authorized Official - Middle Name:X
Authorized Official - Last Name:TRINH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:281-858-7433
Mailing Address - Street 1:7014 FRY RD STE 108
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4407
Mailing Address - Country:US
Mailing Address - Phone:281-858-7433
Mailing Address - Fax:281-858-7533
Practice Address - Street 1:7014 FRY RD STE 108
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-4407
Practice Address - Country:US
Practice Address - Phone:281-858-7433
Practice Address - Fax:281-858-7533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty