| Vivian Tran Dds Dental Corporation | |
|
11340 W Olympic Blvd Ste 240 Los Angeles CA 90064-1612 | |
| (310) 575-8828 | |
| Not Available |
| Full Name | Vivian Tran Dds Dental Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11340 W Olympic Blvd Ste 240, Los Angeles, California |
| Authorized Official Name and Position | Vivian Tran (CEO) |
| Authorized Official Contact | 2136740456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivian Tran Dds Dental Corporation 1826 Butler Ave Apt 104 Los Angeles CA 90025-5481 Ph: (213) 674-0456 | Vivian Tran Dds Dental Corporation 11340 W Olympic Blvd Ste 240 Los Angeles CA 90064-1612 Ph: (310) 575-8828 |
| NPI Number | 1508681404 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 11/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508681404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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