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Individual

DR. TRANG KHANH MAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1637 PORTAGE AVE, SOUTH BEND, IN 46616-1743
(574) 233-8444
(574) 233-8366
Mailing address
1637 PORTAGE AVE, SOUTH BEND, IN 46616-1743
(574) 233-8444
(574) 233-8366

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010453A
IN

Other

Enumeration date
11/07/2006
Last updated
07/08/2007
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