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Dutran DO, MD, DMD — NPI 1053490961, Los Angeles, CA | NPI Central

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NPI 1053490961

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Dutran DO, MD, DMD

NPI 1053490961 · Oral & Maxillofacial Surgery (D.M.D.) · Los Angeles, CA

Provider details

NPI number: 1053490961
Entity type: Individual
Primary specialty: Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
Credential: MD, DMD
Sex: Male
Sole proprietor: Yes
License: 052760 (NY)

Specialties & taxonomies

Oral & Maxillofacial Surgery (D.M.D.)Primary204E00000XLicense C139636 (CA)
Allopathic & Osteopathic Physicians
Dentist122300000XLicense 052760 (NY)
Dental Providers
Dentist122300000XLicense 64626 (CA)
Dental Providers
Oral & Maxillofacial Surgery (D.M.D.)204E00000XLicense 049194 (CT)
Allopathic & Osteopathic Physicians
Oral & Maxillofacial Surgery (D.M.D.)204E00000XLicense 257471 (NY)
Allopathic & Osteopathic Physicians

Practice location

12401 Wilshire Blvd Ste 104

Los Angeles, CA 90025-1015

Phone: (203) 200-7280

Approximate (ZIP-level) locationGet directions

More CA providers

Mailing address

12401 Wilshire Blvd Ste 104

Los Angeles, CA 90025-1015

Additional practice locations (2)

6505 Rosemead Blvd Ste 203
Pico Rivera, CA 90660-3543
Phone: (562) 942-1062
7901 Broadway
Elmhurst, NY 11373-1329
Phone: (718) 334-4000

Registry dates

Enumerated: 2006-11-02
Last updated: 2022-02-27
Certified: 2022-02-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.