Ethan Truong, DDS Pllc

NPI #1891300232 in Galveston, Texas

Provider Information

NPI Number: 1891300232
Entity Type: Organization
Organization Name: Ethan Truong, DDS Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 12, 2020
Last Updated: Sep 12, 2020

Practice Location

Address: 1801 BROADWAY ST
City: Galveston
State: Texas
ZIP Code: 77550-4912
Phone: (409) 762-8443

Authorized Official

Name: ETHAN TRUONG, DDS
Title: OWNER/DENTIST
Phone: (678) 200-6508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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