| Phi Tran Dental Corporation | |
|
844 E Valley Blvd San Gabriel CA 91776-3642 | |
| (626) 307-1064 | |
| (626) 307-5385 |
| Full Name | Phi Tran Dental Corporation |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 844 E Valley Blvd, San Gabriel, California |
| Authorized Official Name and Position | Phi Kim Tran (OWNER) |
| Authorized Official Contact | 6263071064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phi Tran Dental Corporation 844 E Valley Blvd San Gabriel CA 91776-3642 Ph: (626) 307-1064 | Phi Tran Dental Corporation 844 E Valley Blvd San Gabriel CA 91776-3642 Ph: (626) 307-1064 |
| NPI Number | 1528253507 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528253507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 31721 (California) | Primary |
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