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Organization
MICHELLE MYCHAU TRAN, D.D.S., A PROFESSIONAL DENTAL CORP.
Active
Organization
MICHELLE MYCHAU TRAN, D.D.S., A PROFESSIONAL DENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE MYCHAU TRAN D.D.S. (PRESIDENT)
(714) 372-3600
Entity
Organization
Contact information
Practice address
12683 BEACH BLVD, STANTON, CA 90680-4007
(714) 372-3600
(714) 372-3705
Mailing address
12683 BEACH BLVD, STANTON, CA 90680-4007
(714) 372-3600
(714) 372-3705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
46225
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93104-01
—
CA
Enumeration date
11/29/2005
Last updated
08/22/2020
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