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1801270376
ETHAN TRUONG
GALVESTON, TX
NPI
1801270376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 33975)
Additional Taxonomies
122300000X Dentist
(Licence: AR 4066)
Enumeration Date
2015-07-15
Last Update Date
2020-09-11
Business Address
ETHAN TRUONG DDS
1801 BROADWAY ST
GALVESTON, TX 77550-4912
Phone number: 409-762-8443
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Mailing Address
ETHAN TRUONG DDS
3433 COVE VIEW BLVD APT 3517
GALVESTON, TX 77554-8188
Phone number: 678-200-6508
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