Individual
KATIE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 GLENBURRY WAY, SAN JOSE, CA 95123
(408) 564-1608
Mailing address
524 GLENBURRY WAY, SAN JOSE, CA 95123
(408) 564-1608
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
77374
CA
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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