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Organization
PHUONG PHI TRAN DDS INC
Active
Organization
PHUONG PHI TRAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHUONG TRAN DDS (OWNER DOCTOR)
(714) 839-3926
Entity
Organization
Contact information
Practice address
1103 S HARBOR BLVD STE D, SANTA ANA, CA 92704-2347
(714) 839-3926
Mailing address
1103 S HARBOR BLVD STE D, SANTA ANA, CA 92704-2347
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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