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4048 Dale Rd Suite 203 Modesto CA 95356-9505 | |
| (209) 543-6070 | |
| (209) 545-7890 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4048 Dale Rd, Modesto, California |
| Authorized Official Name and Position | Anthony Hung Tran (PRESIDENT) |
| Authorized Official Contact | 2095436070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4048 Dale Rd Suite 203 Modesto CA 95356-9505 Ph: (209) 543-6070 | 4048 Dale Rd Suite 203 Modesto CA 95356-9505 Ph: (209) 543-6070 |
| NPI Number | 1417072729 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417072729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45991 (California) | Primary |
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