# RANCHO SANTA FE DENTAL GROUP

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

## Provider details

- **NPI number:** 1821305798
- **Authorized official:** MY-ANH T TRAN DMD (OWNER)
- **Authorized official phone:** (623) 536-3377

## Contact information

- **Practice address:** 13048 W RANCHO SANTA FE BLVD, 114, AVONDALE, AZ 85392-1705
- **Practice address phone:** (623) 536-3377
- **Practice address fax:** (623) 536-3088
- **Mailing address:** 13048 W RANCHO SANTA FE BLVD, 114, AVONDALE, AZ 85392-1705
- **Mailing address phone:** (623) 536-3377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D6970 | AZ | Yes |

## Other

- **Enumeration date:** 09/13/2010
- **Last updated:** 04/29/2011