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Organization
RANCHO SANTA FE DENTAL GROUP
Active
Organization
RANCHO SANTA FE DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MY-ANH T TRAN DMD (OWNER)
(623) 536-3377
Entity
Organization
Contact information
Practice address
13048 W RANCHO SANTA FE BLVD, 114, AVONDALE, AZ 85392-1705
(623) 536-3377
(623) 536-3088
Mailing address
13048 W RANCHO SANTA FE BLVD, 114, AVONDALE, AZ 85392-1705
(623) 536-3377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6970
AZ
Other
Enumeration date
09/13/2010
Last updated
04/29/2011
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