| Kristine N. Tran, Dds, Inc. | |
|
9009 Mira Mesa Blvd San Diego CA 92126-2738 | |
| (858) 530-2898 | |
| (858) 530-2978 |
| Full Name | Kristine N. Tran, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9009 Mira Mesa Blvd, San Diego, California |
| Authorized Official Name and Position | Kristine Ngoc Tran (PRESIDENT) |
| Authorized Official Contact | 8585302898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristine N. Tran, Dds, Inc. 9009 Mira Mesa Blvd San Diego CA 92126-2738 Ph: (858) 530-2898 | Kristine N. Tran, Dds, Inc. 9009 Mira Mesa Blvd San Diego CA 92126-2738 Ph: (858) 530-2898 |
| NPI Number | 1912203886 |
|---|---|
| Provider Enumeration Date | 02/09/2011 |
| Last Update Date | 06/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912203886 | NPI | - | NPPES |
| B40749-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 40749 (California) | Primary |
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