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General NPI Number Information
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NPI Number | 1699906974
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Entity Type | Organization
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Legal Business Name | ROBIN THUCANH P. TRAN,DDS,DENTAL CORPORATION,INC
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Dates
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Enumeration Date | 08/04/2009
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 2351 MCKEE RD STE B
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City | SAN JOSE
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State | CA
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Zip | 95116-1624
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Country | US
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Telephone | 408-272-8145
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Fax | 408-272-8874
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Provider Business Mailing Address
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Address Line | 2351 MCKEE ROAD STE B
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City | SAN JOSE
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State | CA
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Zip | 95116
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Country | US
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Telephone | 408-272-8145
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Fax | 408-272-8874
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Authorized Official
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Title or Position | DDS
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Name | DR. ROBIN TRAN
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Credential | DDS
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Telephone | 408-272-8145
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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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