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Organization
TAN TRUONG OD INC
Active
Organization
TAN TRUONG OD INC
Active
Other names
IMAGINE Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAN N TRUONG OD, MPH, PHD (OWNER & PRESIDENT)
(510) 717-4462
Entity
Organization
Contact information
Practice address
3860 FALLON RD, DUBLIN, CA 94568-4277
(510) 717-4462
Mailing address
3860 FALLON RD, DUBLIN, CA 94568-4277
(510) 717-4462
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
09/05/2017
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