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NPI Code Detail

MEDICARE: DR. THANH T TRAN D.D.S.

MEDICARE:  DR. THANH T TRAN  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry59474CA

General Provider Information

NPI Number : 1992088934
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THANH T TRAN D.D.S.
Provider Business Mailing Address
First Line : 10365 CAMINITO GOMA
Second Line :
City : SAN DIEGO
State : CA
Zip : 92131-1628
Country : US
Telephone Number : 858-353-2182
Fax Number :
Provider Business Practice Location Address
First Line : 709 CENTER DR
Second Line : SUITE 101
City : SAN MARCOS
State : CA
Zip : 92069-2502
Country : US
Telephone Number : 760-746-2045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2011
Last Update Date : 09/26/2011

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Directions to “ DR. THANH T TRAN D.D.S.” Practice Location

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