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Individual
BRENT P TRAN
Active
Individual
BRENT P TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63977
CA
1223G0001X
General Practice Dentistry
DE00009519
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0174963
STATE LABOR & INDUSTRIES
WA
01
—
4352TR
REGENCE BLUE SHIELD
WA
05
—
5044540
—
WA
Enumeration date
10/27/2006
Last updated
06/06/2024
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