Organization · Type 2 NPI
Tam Truong, LLC
Dental Clinic/Center · Jacksonville, FL
NPI number
1104693118
Active
Practice location
5310 Timuquana Rd # 8049
Jacksonville, FL 32210-8049
Mailing address
5055 Sundrop Way
Jacksonville, FL 32257-6182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1104693118
Tam Truong, LLC's National Provider Identifier is 1104693118, issued on Dec 8, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 8, 2023.