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Organization
LILY TULAN TRAN, DDS, A PROFESSIONAL DENTAL CORPOPRATION
Active
Organization
LILY TULAN TRAN, DDS, A PROFESSIONAL DENTAL CORPOPRATION
Active
Other names
Tustin Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILY TULAN TRAN DDS. (PRESIDENT)
(714) 558-9236
Entity
Organization
Contact information
Practice address
2126 N TUSTIN AVE, SANTA ANA, CA 92705-7828
(714) 558-9236
(714) 558-9237
Mailing address
2126 N TUSTIN AVE, SANTA ANA, CA 92705-7828
(714) 558-9236
(714) 558-9237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
41801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B4180101
CALIFORNIA MEDI-CAL DENTAL PROGRAM
CA
Enumeration date
04/02/2009
Last updated
04/02/2009
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