Individual
DR. THIEN TAM TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
225 NE 28TH ST STE 225, FORT WORTH, TX 76164-7205
(181) 779-9506
Mailing address
2528 SUNDANCE LN, DALLAS, TX 75287-5871
(469) 774-1402
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
26006
TX
Other
Enumeration date
02/24/2011
Last updated
08/26/2020
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