Individual
KEVIN M TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
11943 EL CAMINO REAL STE 200, SAN DIEGO, CA 92130-2597
(858) 336-8478
Mailing address
13488 GINGER GLEN RD, SAN DIEGO, CA 92130-6912
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
107010
CA
Other
Enumeration date
01/06/2022
Last updated
02/09/2022
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