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Organization
NGUYENTRAN DDS CORP
Active
Organization
NGUYENTRAN DDS CORP
Active
Other names
DBA Pearly Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIET TRAN DDS (DENTIST OWNER)
(714) 542-8888
Entity
Organization
Contact information
Practice address
2001 E 4TH ST STE 102, SANTA ANA, CA 92705-3916
(714) 542-8888
Mailing address
16027 BROOKHURST ST # I-160, FOUNTAIN VALLEY, CA 92708-1551
(714) 542-8888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
44552
CA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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