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1619318946
PHUNG TRAN
LODI, CA
NPI
1619318946
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 62467)
Enumeration Date
2013-07-15
Last Update Date
2013-09-04
Business Address
Dr. PHUNG TRAN D.M.D
2061 HENDERSON WAY
LODI, CA 95242-4814
Phone number: 209-747-9335
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Mailing Address
Dr. PHUNG TRAN D.M.D
2061 HENDERSON WAY
LODI, CA 95242-4814
Phone number: 209-747-9335
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