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General NPI Number Information
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NPI Number | 1558911313
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Entity Type | Organization
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Legal Business Name | KIM XUAN TRAN D.D.S., INC.
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Dates
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Enumeration Date | 09/13/2019
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 1001 SNEATH LN STE 211
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City | SAN BRUNO
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State | CA
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Zip | 94066-2349
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Country | US
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Telephone | 650-872-2080
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Fax | 650-615-4607
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Provider Business Mailing Address
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Address Line | 1001 SNEATH LN STE 211
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City | SAN BRUNO
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State | CA
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Zip | 94066-2349
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Country | US
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Telephone | 650-872-2080
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Fax | 650-615-4607
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Authorized Official
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Title or Position | GENERAL DENTIST/OWNER
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Name | DR. KIM XUAN TRAN
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Credential | DDS
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Telephone | 650-872-2080
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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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