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Individual

DIANE TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
13309 BROOKHURST ST, GARDEN GROVE, CA 92843-3117
(714) 537-3769
Mailing address
17178 WALNUT ST, FOUNTAIN VALLEY, CA 92708-2752
(714) 362-5398
(714) 537-7043

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
45415
CA

Other

Enumeration date
02/22/2007
Last updated
07/08/2007
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