# MY G TRAN DDS PROF CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Image Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326201294
- **Authorized official:** DR. MY G TRAN D.D.S (OWNER)
- **Authorized official phone:** (702) 405-7400

## Contact information

- **Practice address:** 7545 W SAHARA AVE, STE 200, LAS VEGAS, NV 89117-2866
- **Practice address phone:** (700) 838-0707
- **Mailing address:** 10470 W CHEYENNE AVE, STE 110, LAS VEGAS, NV 89129-8732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 5586 | NV | Yes |

## Other

- **Enumeration date:** 07/09/2008
- **Last updated:** 05/12/2010