Organization
LINDA TRAN DDS A PDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA LINH TRAN DDS (CEO/DENTIST)
(909) 591-0077
Entity
Organization
Contact information
Practice address
3991 GRAND AVE STE D, CHINO, CA 91710-5442
(909) 591-0077
(909) 591-7711
Mailing address
3991 GRAND AVE STE D, CHINO, CA 91710-5442
(909) 591-0077
(909) 591-7711
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
40124
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265624191
—
CA
Enumeration date
03/30/2018
Last updated
03/30/2018
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