# TERRIE X TRAN DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528305265
- **Authorized official:** MRS. SANDRA LEE DESPIGANOVICZ (ADMINISTRATOR)
- **Authorized official phone:** (702) 492-9399

## Contact information

- **Practice address:** 10545 S EASTERN AVE STE 140, HENDERSON, NV 89052-3973
- **Practice address phone:** (702) 492-9399
- **Practice address fax:** (702) 492-6326
- **Mailing address:** 10545 S. EASTERN AVE 140, HENDERSON, NV 89052-3973
- **Mailing address phone:** (702) 492-9399
- **Mailing address fax:** (702) 492-6326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 4178 | NV | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 01/15/2013
- **Last updated:** 01/15/2013