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Organization
NGUYEN AND TRAN DENTAL CORPORATION
Active
Organization
NGUYEN AND TRAN DENTAL CORPORATION
Active
Other names
Tooth Fairy Cottage
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMDUNG TRACY TRAN D.D.S. (OWNER)
(408) 238-2647
Entity
Organization
Contact information
Practice address
6130 HELLYER AVENUE, SAN JOSE, CA 95138
(408) 238-2647
(408) 238-2716
Mailing address
6130 HELLYER AVENUE, SAN JOSE, CA 95138
(408) 238-2647
(408) 238-2716
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
51778
CA
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
08/29/2012
Last updated
04/30/2021
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