Provider Demographics
NPI:1841636669
Name:DANNY TRUONG DDS, A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:DANNY TRUONG DDS, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-441-0701
Mailing Address - Street 1:181 FLETCHER PARKWAY
Mailing Address - Street 2:WESTFIELD PARKWAY PLAZA
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020
Mailing Address - Country:US
Mailing Address - Phone:619-441-0701
Mailing Address - Fax:619-441-0746
Practice Address - Street 1:181 FLETCHER PKWY
Practice Address - Street 2:WESTFIELD PARKWAY PLAZA
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-2525
Practice Address - Country:US
Practice Address - Phone:619-441-0701
Practice Address - Fax:619-441-0746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-20
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA401981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty