Individual
TAN QUOC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
737 N NELLIS BLVD, LAS VEGAS, NV 89110-5384
(702) 453-2337
(702) 453-4706
Mailing address
737 N NELLIS BLVD, LAS VEGAS, NV 89110-5384
(702) 453-2337
(702) 453-4706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3505
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002202082
—
NV
Enumeration date
12/13/2006
Last updated
07/09/2007
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