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Organization
MINDI THAI, DDS & KIMDUNG TRACY TRAN, DDS, A DENTAL CORPORATION
Active
Organization
MINDI THAI, DDS & KIMDUNG TRACY TRAN, DDS, A DENTAL CORPORATION
Active
Other names
EDENVALE DENTAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MINDI CHAU THAI DDS (CO-OWNER, PRESIDENT)
(408) 225-5883
Entity
Organization
Contact information
Practice address
120 BLOSSOM HILL RD, SUITE 20, SAN JOSE, CA 95123-2302
(408) 225-5883
(408) 225-8650
Mailing address
120 BLOSSOM HILL RD, SUITE 20, SAN JOSE, CA 95123-2302
(408) 225-5883
(408) 225-8650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49010
CA
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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