| Phong T. Tran Dds, Inc | |
|
4500 Rosemead Blvd Ste A Pico Rivera CA 90660-2081 | |
| (562) 692-9196 | |
| Not Available |
| Full Name | Phong T. Tran Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4500 Rosemead Blvd Ste A, Pico Rivera, California |
| Authorized Official Name and Position | Phong Thai Tran (CEO) |
| Authorized Official Contact | 5626929196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phong T. Tran Dds, Inc 4500 Rosemead Blvd Ste A Pico Rivera CA 90660-2081 Ph: (562) 692-9196 | Phong T. Tran Dds, Inc 4500 Rosemead Blvd Ste A Pico Rivera CA 90660-2081 Ph: (562) 692-9196 |
| NPI Number | 1417171646 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 01/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417171646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45624 (California) | Primary |
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