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Individual

DR. ANNE TRAN NGHIEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
200 BIRNIE AVE, NO TOOTH LEFT BEHIND DENTAL CLINIC, SPRINGFIELD, MA 01107-1102
(413) 787-7079
(413) 736-4641
Mailing address
60 MADISON WAY, SOUTH WINDSOR, CT 06074-2374
(860) 778-4149

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
009029
CT
1223P0221X
Pediatric Dentistry
Primary
21421
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0206369
MA
Enumeration date
05/14/2007
Last updated
07/09/2007
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