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Individual
SEAN TRAN
Active
Individual
SEAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26005
TX
1223G0001X
General Practice Dentistry
57145
CA
1223G0001X
General Practice Dentistry
5738
NV
1223G0001X
General Practice Dentistry
DD3090
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2096297
UNITED CONCORDIA
NM
05
—
45258775
—
NM
Enumeration date
01/12/2009
Last updated
11/27/2013
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