Organization
VIVIAN TRAN DDS DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIVIAN TRAN DDS (CEO)
(213) 674-0456
Entity
Organization
Contact information
Practice address
11340 W OLYMPIC BLVD STE 240, LOS ANGELES, CA 90064-1612
(310) 575-8828
Mailing address
1826 BUTLER AVE APT 104, LOS ANGELES, CA 90025-5481
(213) 674-0456
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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