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Organization
THAILONG TRAN DDS LLC
Active
Organization
THAILONG TRAN DDS LLC
Active
Other names
Park Center Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAILONG TRAN D.D.S. (MEMBER)
(301) 776-9686
Entity
Organization
Contact information
Practice address
14207 PARK CENTER DR, STE 105, LAUREL, MD 20707-5248
(301) 776-9686
(301) 776-9680
Mailing address
14207 PARK CENTER DR, STE 105, LAUREL, MD 20707-5248
(301) 776-9686
(301) 776-9680
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16183
MD
Other
Enumeration date
11/25/2016
Last updated
11/25/2016
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