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Provider Information for 1831113968

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. PHUONG DUC TRAN D.D.S.

Gender: MALE

Individual NPI: 1831113968

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1831113968
Enumeration Date 2006-07-26
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 52 SALTON
IRVINE, CA 92602-2425
United States

Phone: 949-632-4591 | Fax:
View Map External Link
Primary Practice Address 3862 KATELLA AVE #A
LOS ALAMITOS, CA 90720-3354
United States

Phone: 562-795-5190 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice CA 50186