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NPI Code Detail

MEDICARE: TAMMY N. TRAN, D.D.S., INC.

MEDICARE: TAMMY N. TRAN, D.D.S., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist48560CA
21223G0001XGeneral Practice Dentistry48560CA

General Provider Information

NPI Number : 1881048023
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAMMY N. TRAN, D.D.S., INC.
Provider Business Mailing Address
First Line : 1938 W DEEREFIELD RD
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-7138
Country : US
Telephone Number : 626-627-0616
Fax Number :
Provider Business Practice Location Address
First Line : 612 E CARSON ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2912
Country : US
Telephone Number : 562-987-0626
Fax Number : 562-987-1767
Authorized Official
Title or Position : PRESIDENT
Name : DR. TAMMY NGOC TRAN
Credential : D.D.S.
Telephone Number : 562-987-0626
Provider Enumeration Date : 04/13/2016
Last Update Date : 07/21/2022

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Directions to “TAMMY N. TRAN, D.D.S., INC. ” Practice Location

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