Organization
TIEN TRAN DMD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIEN TRAN DMD (OWNER)
(951) 679-6677
Entity
Organization
Contact information
Practice address
28401 BRADLEY RD STE B, MENIFEE, CA 92586-3040
(951) 679-6677
Mailing address
28401 BRADLEY RD STE B, MENIFEE, CA 92586-3040
(951) 679-6677
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
63456
CA
261QD0000X
Dental Clinic/Center
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Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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