# D TRAN DDS PC

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

## Provider details

- **NPI number:** 1861569451
- **Authorized official:** DUC V TRAN DDS (OWNER DENTIST)
- **Authorized official phone:** (701) 775-7611

## Contact information

- **Practice address:** 600 DEMERS AVE, \#304, GRAND FORKS, ND 58201
- **Practice address phone:** (701) 775-7611
- **Practice address fax:** (701) 775-6370
- **Mailing address:** 600 DEMERS AVE, \#304, GRAND FORKS, ND 58201
- **Mailing address phone:** (701) 775-7611
- **Mailing address fax:** (701) 775-6370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | ND1857 | ND | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 06/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41181 | — | ND |