Individual
DR. KENNY TUAN TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
15525 POMERADO RD STE A7, POWAY, CA 92064-2425
(858) 250-0108
Mailing address
15525 POMERADO RD STE A7, POWAY, CA 92064-2425
(858) 250-0108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
57166
CA
1223E0200X
Endodontics
Primary
57166
CA
Other
Enumeration date
07/11/2008
Last updated
07/21/2022
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