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Organization
PHUONG MY NGO AND CON NGOC TRAN, DDS, INC.
Active
Organization
PHUONG MY NGO AND CON NGOC TRAN, DDS, INC.
Active
Other names
PC Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CON NGOC TRAN D.D.S (CEO)
(714) 952-3582
Entity
Organization
Contact information
Practice address
10425 MAGNOLIA AVE STE A, ANAHEIM, CA 92804-5113
(714) 952-3582
(714) 236-5409
Mailing address
10425 MAGNOLIA AVE #A, SUITE # A, ANAHEIM, CA 92804-5113
(714) 952-3582
(714) 236-5409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
41493
CA
1223G0001X
General Practice Dentistry
Primary
44104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G91567
—
CA
01
—
G91567-01
DENTI-CAL
CA
Enumeration date
01/07/2007
Last updated
01/11/2018
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