| NPI | 1639491657 |
|---|---|
| Doing Business As | UNIVERSITY SQUARE DENTAL, PRACTICE OF LONG DANG TRAN DDS, INC |
| Entity Type | Organization |
| Authorized Contact | LONG DANG LONG President 619-264-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 51148) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2010-02-17 |