Individual
PHUONG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7223 MISSISSIPPI AVE BLDG 1561, FT. POLK, LA 71459-5110
(337) 531-2327
Mailing address
6712 NW 112TH ST, OKLAHOMA CITY, OK 73162-2978
(405) 887-3267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7073
OK
1223G0001X
General Practice Dentistry
7073
OK
Other
Enumeration date
08/01/2018
Last updated
04/04/2023
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