Individual
DR. DOAN KHANH TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
3661 SANGANI BLVD, DIBERVILLE, MS 39540-8706
(228) 269-0175
Mailing address
2258 W ROOSEVELT BLVD STE A, MONROE, NC 28110-3090
(704) 291-7100
(704) 291-7115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4271-22
MS
1223G0001X
General Practice Dentistry
D8655
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5919131
—
NC
Enumeration date
12/01/2006
Last updated
11/08/2023
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