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1790997146
VITRUC PHUNG TRAN
SAN MARCOS, CA
NPI
1790997146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 49422)
Enumeration Date
2007-05-05
Last Update Date
2007-07-08
Business Address
Dr. VITRUC PHUNG TRAN D.M.D.
1562 LOMA ALTA
SAN MARCOS, CA 92069-8316
Phone number: 619-301-1192
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Mailing Address
Dr. VITRUC PHUNG TRAN D.M.D.
1562 LOMA ALTA
SAN MARCOS, CA 92069-8316
Phone number: 619-301-1192
Copy
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