Organization
MTRAN DMD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TRAN DMD (DENTIST/OWNER)
(714) 838-0790
Entity
Organization
Contact information
Practice address
1101 BRYAN AVE STE D, TUSTIN, CA 92780-4401
(714) 838-0790
(714) 838-0515
Mailing address
1101 BRYAN AVE STE D, TUSTIN, CA 92780-4401
(714) 838-0790
(714) 838-0515
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
01/18/2021
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