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General NPI Number Information
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NPI Number | 1770776072
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Entity Type | Organization
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Legal Business Name | VINA D. TRAN, D.D.S., INC
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 3310 S BRISTOL ST
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City | SANTA ANA
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State | CA
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Zip | 92704-8201
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Country | US
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Telephone | 714-549-1788
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Fax |
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Provider Business Mailing Address
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Address Line | 17 SORBONNE ST
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City | WESTMINSTER
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State | CA
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Zip | 92683-8916
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Country | US
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Telephone | 714-425-5104
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. VINA D TRAN
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Credential | D.D.S
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Telephone | 714-425-5104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 48558
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License Number State | CA
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