| Trung L Tran Dds Inc | |
|
22611 Lake Forest Dr Ste C5 Lake Forest CA 92630-1700 | |
| (818) 317-7902 | |
| Not Available |
| Full Name | Trung L Tran Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 22611 Lake Forest Dr Ste C5, Lake Forest, California |
| Authorized Official Name and Position | Tien Thuy Ngo (SECRETARY) |
| Authorized Official Contact | 8183177902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trung L Tran Dds Inc 15510 Bonsai Way Tustin CA 92782-1904 Ph: (818) 317-7902 | Trung L Tran Dds Inc 22611 Lake Forest Dr Ste C5 Lake Forest CA 92630-1700 Ph: (818) 317-7902 |
| NPI Number | 1487181459 |
|---|---|
| Provider Enumeration Date | 05/21/2017 |
| Last Update Date | 05/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487181459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 51113 (California) | Primary |
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