# DUYEN TRAN DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730342825
- **Authorized official:** DR. DUYEN TRAN DMD (PRESIDENT)
- **Authorized official phone:** (817) 921-2900

## Contact information

- **Practice address:** 2417 PARK HILL DR, STE B, FORT WORTH, TX 76110-2200
- **Practice address phone:** (817) 921-2900
- **Practice address fax:** (817) 921-2902
- **Mailing address:** 2417 PARK HILL DR, STE B, FORT WORTH, TX 76110-2200
- **Mailing address phone:** (817) 921-2900
- **Mailing address fax:** (817) 921-2902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 22149 | TX | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 07/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 183342801 | — | TX |
