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Organization
UNIVERSAL DENTAL GROUP
Active
Organization
UNIVERSAL DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HA NHI TRAN D.D.S. (PRESIDENT)
(909) 620-6664
Entity
Organization
Contact information
Practice address
667 INDIAN HILL BLVD, POMONA, CA 91767-5303
(909) 620-6664
Mailing address
667 INDIAN HILL BLVD, POMONA, CA 91767-5303
(909) 620-6664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40993
CA
Other
Enumeration date
06/27/2007
Last updated
09/26/2007
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