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Organization
TRANSFORM DENTAL PLLC
Active
Organization
TRANSFORM DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VU HOANG TRAN DMD (CEO)
(772) 263-6413
Entity
Organization
Contact information
Practice address
7915 US HIGHWAY 301 N STE 220, ELLENTON, FL 34222-3527
(941) 315-5996
Mailing address
13819 CAMDEN CREST TER, LAKEWOOD RANCH, FL 34211-1726
(772) 263-6413
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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