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Organization
ORANGE COUNTY DENTAL PRACTICE
Active
Organization
ORANGE COUNTY DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHAT TRAN (DMD)
(714) 537-3769
Entity
Organization
Contact information
Practice address
13309 BROOKHURST ST, GARDEN GROVE, CA 92843-3117
(714) 537-3769
Mailing address
13309 BROOKHURST ST, GARDEN GROVE, CA 92843-3117
(714) 537-3769
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40035
CA
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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