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NPI 1649064767

NPI 1649064767 : FRANK D TRAN DDS PROFESSIONAL DENTAL CORP. : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1649064767
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANK D TRAN DDS PROFESSIONAL DENTAL CORP. 
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Dates
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    Enumeration Date     |    04/04/2025
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    Last Update Date     |    04/04/2025
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Provider Practice Location Address
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    Address Line         |    88 TULLY RD STE 112 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95111-1923
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    Country              |    US
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    Telephone            |    408-280-7618
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    88 TULLY RD STE 112 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95111-1923
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    Country              |    US
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    Telephone            |    408-280-7618
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     FRANK  TRAN 
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    Credential           |    DDS
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    Telephone            |    408-883-9258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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