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Organization
TRUNG L TRAN DDS INC
Active
Organization
TRUNG L TRAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIEN THUY NGO DMD (SECRETARY)
(818) 317-7902
Entity
Organization
Contact information
Practice address
22611 LAKE FOREST DR STE C5, LAKE FOREST, CA 92630-1700
(818) 317-7902
Mailing address
15510 BONSAI WAY, TUSTIN, CA 92782-1904
(818) 317-7902
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
51113
CA
Other
Enumeration date
05/21/2017
Last updated
05/21/2017
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