Individual
PATRICK TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
JOINT BASE LEWIS-MCCHORD DENTAC, 9900 LINCOLN STREET 2ND FLOOR, TACOMA, WA 98431
(253) 968-4079
Mailing address
JOINT BASE LEWIS-MCCHORD DENTAC, 9900 LINCOLN STREET 2ND FLOOR, TACOMA, WA 98431
(253) 968-4079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
107794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107794
DENTAL LICENSE
CA
Enumeration date
08/15/2022
Last updated
08/15/2022
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