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General NPI Number Information
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NPI Number | 1144830571
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Entity Type | Organization
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Legal Business Name | HUEY Q TRAN, DDS, INC.
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 07/31/2020
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Provider Practice Location Address
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Address Line | 12363 LIMONITE AVE STE 960
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City | EASTVALE
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State | CA
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Zip | 91752
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Country | US
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Telephone | 951-360-2020
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Fax | 951-360-2022
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Provider Business Mailing Address
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Address Line | 12363 LIMONITE AVE STE 960
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City | EASTVALE
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State | CA
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Zip | 91752
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Country | US
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Telephone | 951-360-2020
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Fax | 951-360-2022
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Authorized Official
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Title or Position | CEO
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Name | HUEY QUANG TRAN
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Credential | DDS
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Telephone | 951-302-7508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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