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1366095119
THANH PHUONG TRINH
FARMINGTON, CT
NPI
1366095119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CT 12591)
Enumeration Date
2019-07-22
Last Update Date
2019-07-26
Business Address
Dr. THANH PHUONG TRINH DMD
263 FARMINGTON AVE
FARMINGTON, CT 06030-0001
Phone number: 860-679-2000
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Mailing Address
Dr. THANH PHUONG TRINH DMD
1256 FARMINGTON AVE # BLL1
WEST HARTFORD, CT 06107-2659
Phone number: 860-999-4287
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