Organization
AILAN TRAN,D.D.S., A PROFESSIONAL DENTAL CORPORATION
Active
Other names
AILAN DENTAL CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINH LE (VICE PRESIDENT)
(408) 528-7878
Entity
Organization
Contact information
Practice address
2042 TULLY RD, SAN JOSE, CA 95122-1357
(408) 528-7878
Mailing address
2042 TULLY RD, SAN JOSE, CA 95122-1357
(408) 528-7878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
43502
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43502
STATE LICENCE
CA
05
—
516896
—
CA
05
—
D43502
—
CA
05
—
G91512-01
—
CA
Enumeration date
03/26/2007
Last updated
03/07/2023
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