# KIM TRAN DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780948430
- **Authorized official:** LOY TAN NGUYEN (OFFICE MANAGER)
- **Authorized official phone:** (559) 876-1031

## Contact information

- **Practice address:** 263 ACADEMY AVE, SANGER, CA 93657
- **Practice address phone:** (559) 876-1031
- **Practice address fax:** (559) 899-3091
- **Mailing address:** 263 ACADEMY AVE, SANGER, CA 93657
- **Mailing address phone:** (559) 876-1031
- **Mailing address fax:** (559) 899-3091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 47194 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2012
- **Last updated:** 11/01/2024