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Organization
PHONG T. TRAN DDS, INC
Active
Organization
PHONG T. TRAN DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHONG THAI TRAN (CEO)
(562) 692-9196
Entity
Organization
Contact information
Practice address
4500 ROSEMEAD BLVD STE A, PICO RIVERA, CA 90660-2081
(562) 692-9196
Mailing address
4500 ROSEMEAD BLVD STE A, PICO RIVERA, CA 90660-2081
(562) 692-9196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45624
CA
Other
Enumeration date
04/12/2007
Last updated
01/16/2008
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