Organization
NHUNG THI TRAN DMD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NHUNG THI TRAN DMD (DENTIST OWNER)
(617) 825-0059
Entity
Organization
Contact information
Practice address
850 DORCHESTER AVE, DORCHESTER, MA 02125-1133
(617) 825-0059
(617) 265-3745
Mailing address
850 DORCHESTER AVE, DORCHESTER, MA 02125-1133
(617) 825-0059
(617) 265-3745
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15925
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0265594
—
MA
Enumeration date
01/23/2007
Last updated
12/07/2010
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