Rick Van Tran, DDS, INC
Dentist in Manteca, CA. Organization (NPI-2).
NPI number1407129331
StatusActive
Last updated in NPPESFeb 11, 2014
Details
- NPI
- 1407129331
- Entity type
- Organization (NPI-2)
- Legal business name
- Rick Van Tran, DDS, INC
- Organization subpart
- No
- Enumeration date
- Feb 23, 2012
- Last updated
- Feb 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 53036 | CA | Yes |
Other names
- Manteca Dental Care (Doing Business As)
Practice location
1007 S Main StManteca, CA 95337-5703
Phone 209-823-9218 · Fax 209-823-1134
Mailing address
1007 S Main StManteca, CA 95337-5703
Phone 209-823-9218 · Fax 209-823-1134
Authorized official
Rick Van Tran
President
2098239218
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