Organization
NGUYENTRAN DDS CORP
Active
Other names
DBA Pearly Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIET TRAN DDS (DENTIST OWNER)
(714) 542-8888
Entity
Organization
Contact information
Practice address
2001 E 4TH ST STE 102, SANTA ANA, CA 92705-3916
(714) 542-8888
Mailing address
16027 BROOKHURST ST # I-160, FOUNTAIN VALLEY, CA 92708-1551
(714) 542-8888
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
44552
CA
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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