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Individual
DR. DAN TRAN
Active
Individual
DR. DAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0442000275
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0442000275
VA
390200000X
Student in an Organized Health Care Education/Training Program
0442000275
VA
Other
Enumeration date
04/20/2016
Last updated
06/30/2020
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