| Trong T. Tran, D.d.s., Inc. | |
|
88 Tully Rd Suite #108 San Jose CA 95111-1923 | |
| (408) 292-5888 | |
| (408) 292-7480 |
| Full Name | Trong T. Tran, D.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 88 Tully Rd, San Jose, California |
| Authorized Official Name and Position | Trong Tu Tran (OWNER) |
| Authorized Official Contact | 4082925888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trong T. Tran, D.d.s., Inc. 88 Tully Rd Suite #108 San Jose CA 95111-1923 Ph: (408) 292-5888 | Trong T. Tran, D.d.s., Inc. 88 Tully Rd Suite #108 San Jose CA 95111-1923 Ph: (408) 292-5888 |
| NPI Number | 1801119227 |
|---|---|
| Provider Enumeration Date | 03/12/2010 |
| Last Update Date | 03/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801119227 | NPI | - | NPPES |
| G92113 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D41317 (California) | Primary |
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