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1497385736
PHONG THANH TRAN
OCEANSIDE, CA
NPI
1497385736
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
124Q00000X Dental Hygienist
Enumeration Date
2020-01-24
Last Update Date
2020-01-24
Business Address
Mr. PHONG THANH TRAN RDH
599 A AVE #501
OCEANSIDE, CA 92058
Phone number: 760-763-2106
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Mailing Address
Mr. PHONG THANH TRAN RDH
10082 ALDGATE AVE
GARDEN GROVE, CA 92840-1006
Phone number: 714-414-9943
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