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Individual

LARRY TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2727 W CLEVELAND AVE, 2ND FLOOR, MILWAUKEE, WI 53215-2908
(414) 383-5500
(414) 383-5400
Mailing address
2727 W CLEVELAND AVE, 2ND FLOOR, MILWAUKEE, WI 53215-2908
(414) 383-5500
(414) 383-5400

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4911
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33741000
WI
Enumeration date
12/05/2005
Last updated
07/09/2007
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