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Organization
TRAN TRUONG DDS A PROFESSIONAL CORP.
Active
Organization
TRAN TRUONG DDS A PROFESSIONAL CORP.
Active
Parent organization
TRAN TRUONG DDS A PROFESSIONAL CORP.
Other names
Dental plus office
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRAN TRUONG DDS A PROFESSIONAL CORP.
Authorized official
DR. LAWRENCE TRAN DDS (PRESIDENT)
(714) 267-9163
Entity
Organization
Contact information
Practice address
80120 US HIGHWAY 111, INDIO, CA 92201-8364
(760) 775-9901
(760) 775-9902
Mailing address
80120 US HIGHWAY 111, INDIO, CA 92201-8364
(760) 775-9901
(760) 775-9902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45993
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831323559
—
CA
01
—
B45993-01
DENTICAL
CA
Enumeration date
07/13/2016
Last updated
07/13/2016
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