Individual
LISA NGUYEN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MD
Contact information
Practice address
436 S GLASSELL ST, ORANGE, CA 92866-1906
(714) 998-7450
(714) 998-2857
Mailing address
436 S GLASSELL ST, ORANGE, CA 92866-1906
(714) 998-7450
(714) 998-2857
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1797
CA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
60421
CA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
143261
CA
Other
Enumeration date
04/14/2010
Last updated
04/12/2024
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