Organization
KENNY T. TRAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNY T TRAN DDS (PRESIDENT)
(858) 250-0108
Entity
Organization
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
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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