Henry T. Tran D.d.s., Inc | |
4002 Park Blvd Ste 8 San Diego CA 92103-2689 | |
(619) 220-7000 | |
Not Available |
Full Name | Henry T. Tran D.d.s., Inc |
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Speciality | Clinic/center - Dental |
Location | 4002 Park Blvd Ste 8, San Diego, California |
Authorized Official Name and Position | Henry Tran (CEO) |
Authorized Official Contact | 6192800076 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Henry T. Tran D.d.s., Inc 4616 El Cajon Blvd Ste 8 San Diego CA 92115-4426 Ph: (619) 280-0076 | Henry T. Tran D.d.s., Inc 4002 Park Blvd Ste 8 San Diego CA 92103-2689 Ph: (619) 220-7000 |
NPI Number | 1407243710 |
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Provider Enumeration Date | 04/24/2015 |
Last Update Date | 04/24/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407243710 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 53955 (California) | Primary |
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