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Organization

KIET TRAN, DDS, INC

Active
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Organization

KIET TRAN, DDS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIET TRAN DDS (CEO/CHAIR)
(760) 899-2322
Entity
Organization

Contact information

Practice address
65100 DATE PALM AVE, BLDG L, MECCA, CA 92254-6610
(760) 396-3888
Mailing address
41800 WASHINGTON ST, #B105-425, BERMUDA DUNES, CA 92203-8150

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
44552
CA

Other

Enumeration date
01/21/2008
Last updated
01/21/2008
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