| Mtran Dmd Professional Corporation | |
|
1101 Bryan Ave Ste D Tustin CA 92780-4401 | |
| (714) 838-0790 | |
| (714) 838-0515 |
| Full Name | Mtran Dmd Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1101 Bryan Ave Ste D, Tustin, California |
| Authorized Official Name and Position | Michael Tran (DENTIST/OWNER) |
| Authorized Official Contact | 7148380790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mtran Dmd Professional Corporation 1101 Bryan Ave Ste D Tustin CA 92780-4401 Ph: (714) 838-0790 | Mtran Dmd Professional Corporation 1101 Bryan Ave Ste D Tustin CA 92780-4401 Ph: (714) 838-0790 |
| NPI Number | 1316553282 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 01/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316553282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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