| Michelle Mychau Tran, D.d.s., A Professional Dental Corp. | |
|
12683 Beach Blvd Stanton CA 90680-4007 | |
| (714) 372-3600 | |
| (714) 372-3705 |
| Full Name | Michelle Mychau Tran, D.d.s., A Professional Dental Corp. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12683 Beach Blvd, Stanton, California |
| Authorized Official Name and Position | Michelle Mychau Tran (PRESIDENT) |
| Authorized Official Contact | 7143723600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Mychau Tran, D.d.s., A Professional Dental Corp. 12683 Beach Blvd Stanton CA 90680-4007 Ph: (714) 372-3600 | Michelle Mychau Tran, D.d.s., A Professional Dental Corp. 12683 Beach Blvd Stanton CA 90680-4007 Ph: (714) 372-3600 |
| NPI Number | 1780667386 |
|---|---|
| Provider Enumeration Date | 11/29/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780667386 | NPI | - | NPPES |
| G93104-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 46225 (California) | Primary |
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