# THAILONG TRAN DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Center Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710420625
- **Authorized official:** DR. THAILONG TRAN D.D.S. (MEMBER)
- **Authorized official phone:** (301) 776-9686

## Contact information

- **Practice address:** 14207 PARK CENTER DR, STE 105, LAUREL, MD 20707-5248
- **Practice address phone:** (301) 776-9686
- **Practice address fax:** (301) 776-9680
- **Mailing address:** 14207 PARK CENTER DR, STE 105, LAUREL, MD 20707-5248
- **Mailing address phone:** (301) 776-9686
- **Mailing address fax:** (301) 776-9680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 16183 | MD | Yes |

## Other

- **Enumeration date:** 11/25/2016
- **Last updated:** 11/25/2016