| Dba: Grand Dental Group | |
|
2749 N. Grand Avenue Santa Ana CA 92705 | |
| (714) 639-3723 | |
| Not Available |
| Full Name | Dba: Grand Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 2749 N. Grand Avenue, Santa Ana, California |
| Authorized Official Name and Position | Cindy Mai Tran (CEO/PRESIDENT) |
| Authorized Official Contact | 7144547064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba: Grand Dental Group 2749 N. Grand Avenue Santa Ana CA 92705 Ph: (714) 639-3723 | Dba: Grand Dental Group 2749 N. Grand Avenue Santa Ana CA 92705 Ph: (714) 639-3723 |
| NPI Number | 1245650654 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 11/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245650654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 47814 (California) | Primary |
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