Phong T. Tran Dds, INC

NPI #1417171646 in Pico Rivera, California

Provider Information

NPI Number: 1417171646
Entity Type: Organization
Organization Name: Phong T. Tran Dds, INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 12, 2007
Last Updated: Jan 16, 2008

Practice Location

Address: 4500 ROSEMEAD BLVD STE A
City: Pico Rivera
State: California
ZIP Code: 90660-2081
Phone: (562) 692-9196

Authorized Official

Name: DR. PHONG THAI TRAN
Title: CEO
Phone: (562) 692-9196

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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