Provider Demographics
NPI:1548636236
Name:DAO, TRIEUNGUYEN MARIA (DDS)
Entity type:Individual
Prefix:DR
First Name:TRIEUNGUYEN
Middle Name:MARIA
Last Name:DAO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 E SEMINARY DR
Mailing Address - Street 2:STE 100
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76115-2607
Mailing Address - Country:US
Mailing Address - Phone:817-916-4431
Mailing Address - Fax:817-916-4435
Practice Address - Street 1:220 E SEMINARY DR
Practice Address - Street 2:STE 100
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76115-2607
Practice Address - Country:US
Practice Address - Phone:817-916-4431
Practice Address - Fax:817-916-4435
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31338122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist