| Kiet Tran, Dds, Inc | |
|
65100 Date Palm Ave Bldg L Mecca CA 92254-6610 | |
| (760) 396-3888 | |
| Not Available |
| Full Name | Kiet Tran, Dds, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 65100 Date Palm Ave, Mecca, California |
| Authorized Official Name and Position | Kiet Tran (CEO/CHAIR) |
| Authorized Official Contact | 7608992322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiet Tran, Dds, Inc 41800 Washington St #b105-425 Bermuda Dunes CA 92203-8150 Ph: () - | Kiet Tran, Dds, Inc 65100 Date Palm Ave Bldg L Mecca CA 92254-6610 Ph: (760) 396-3888 |
| NPI Number | 1134305147 |
|---|---|
| Provider Enumeration Date | 01/21/2008 |
| Last Update Date | 01/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134305147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 44552 (California) | Primary |
D And A Lee Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 65100 Date Palm Ave Ste L, Mecca, CA 92254 Phone: 760-396-3888 |