Individual
DR. NGUYEN NHU TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
151 S MEDNIK AVE, LOS ANGELES, CA 90022-1606
(310) 384-0832
Mailing address
151 S MEDNIK AVE, LOS ANGELES, CA 90022-1606
(310) 384-0832
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
53109
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53109
DELTA DENTAL
CA
Enumeration date
01/22/2007
Last updated
12/13/2012
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