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Organization
LONG DANG TRAN D.D.S. , INC
Active
Organization
LONG DANG TRAN D.D.S. , INC
Active
Other names
UNIVERSITY SQUARE DENTAL, PRACTICE OF LONG DANG TRAN DDS, INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LONG DANG LONG DDS (PRESIDENT)
(619) 264-1114
Entity
Organization
Contact information
Practice address
5971 UNIVERSITY AVE STE 309, SAN DIEGO, CA 92115-6334
(619) 229-9935
Mailing address
5971 UNIVERSITY AVE STE 309, SAN DIEGO, CA 92115-6334
(619) 229-9935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
51148
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811169568
—
CA
Enumeration date
02/17/2010
Last updated
02/17/2010
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