| Tran Truong Dds A Professional Corp. | |
|
80120 Us Highway 111 Indio CA 92201-8364 | |
| (760) 775-9901 | |
| (760) 775-9902 |
| Full Name | Tran Truong Dds A Professional Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 80120 Us Highway 111, Indio, California |
| Authorized Official Name and Position | Lawrence Tran (PRESIDENT) |
| Authorized Official Contact | 7142679163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tran Truong Dds A Professional Corp. 80120 Us Highway 111 Indio CA 92201-8364 Ph: (760) 775-9901 | Tran Truong Dds A Professional Corp. 80120 Us Highway 111 Indio CA 92201-8364 Ph: (760) 775-9901 |
| NPI Number | 1245683382 |
|---|---|
| Provider Enumeration Date | 07/13/2016 |
| Last Update Date | 07/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245683382 | NPI | - | NPPES |
| 1831323559 | Medicaid | CA | |
| B45993-01 | Other | CA | DENTICAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45993 (California) | Primary |
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