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Organization
KOOL SMILES, PSC
Active
Organization
KOOL SMILES, PSC
Active
Other names
Ruby Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TU MINH TRAN DDS (PRESIDENT)
(770) 916-5036
Entity
Organization
Contact information
Practice address
1211 W BROADWAY, LOUISVILLE, KY 40203-2007
(770) 916-5028
(678) 247-7858
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-5028
(678) 247-7858
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
08/05/2007
Last updated
12/19/2018
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