# ALEXANDER TRAN DENTAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Indio Modern Dentistry Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356839484
- **Authorized official:** ALEXANDER STRAN DDS (OWNER)
- **Authorized official phone:** (760) 255-7597

## Contact information

- **Practice address:** 82151 AVENUE 42 STE 110, INDIO, CA 92203-9312
- **Practice address phone:** (760) 255-7597
- **Practice address fax:** (760) 255-7597
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 04/24/2018
- **Last updated:** 04/24/2018