| Kurt Truong, Dds, Msd, Pllc | |
|
14201 Ne 20th Ave Ste C102 Vancouver WA 98686-6414 | |
| (360) 573-3176 | |
| (360) 573-3716 |
| Full Name | Kurt Truong, Dds, Msd, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 14201 Ne 20th Ave Ste C102, Vancouver, Washington |
| Authorized Official Name and Position | Kurt Truong, Dds, Msd (OWNER) |
| Authorized Official Contact | 3605733176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kurt Truong, Dds, Msd, Pllc 14201 Ne 20th Ave Ste C102 Vancouver WA 98686-6414 Ph: (360) 573-3176 | Kurt Truong, Dds, Msd, Pllc 14201 Ne 20th Ave Ste C102 Vancouver WA 98686-6414 Ph: (360) 573-3176 |
| NPI Number | 1558143826 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 11/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558143826 | NPI | - | NPPES |
| 1285998336 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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