Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH.000906615 | CO |
NPI | 1033597414 |
---|---|
Provider Name | Quyenny Thanh Truong |
First Address | Englewood, CO 80113-3611 |
Second Address | Aurora, CO 80010-1517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2015 |
Last Update Date | 03/04/2018 |