Individual
MRS. THANHVAN VU TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
401 S UTICA AVE STE A, TULSA, OK 74104-2638
(918) 599-8383
Mailing address
201 W 8TH ST, SUITE 810, PUEBLO, CO 81003-3038
(719) 562-4447
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
27805
TX
122300000X
Dentist
6012
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6012
OK STATE DENTAL LICENSE
OK
Enumeration date
07/09/2008
Last updated
03/04/2021
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