Individual
MAI TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
13220 HAWTHORNE BLVD, HAWTHORNE, CA 90250-5804
(323) 267-7367
Mailing address
13220 HAWTHORNE BLVD, HAWTHORNE, CA 90250-5804
(323) 267-7367
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
24602
CA
Other
Enumeration date
03/03/2015
Last updated
09/19/2015
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