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Individual
MIMI T TRAN
Active
Individual
MIMI T TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100245
CA
122300000X
Dentist
30-024310
OH
122300000X
Dentist
DDS100245
CA
Other
Enumeration date
08/20/2014
Last updated
06/21/2024
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