# KENNY T. TRAN DDS INC

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

## Provider details

- **NPI number:** 1932860384
- **Authorized official:** DR. KENNY T TRAN DDS (PRESIDENT)
- **Authorized official phone:** (858) 250-0108

## Contact information

- **Practice address:** 15525 POMERADO RD STE A7, POWAY, CA 92064-2425
- **Practice address phone:** (858) 250-0108
- **Mailing address:** 15525 POMERADO RD STE A7, POWAY, CA 92064-2425
- **Mailing address phone:** (858) 250-0108

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2022
- **Last updated:** 01/07/2022