Individual
DR. CHAN D TRAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2387 S 102ND ST, WEST ALLIS, WI 53227-2146
(414) 329-1171
(414) 329-1018
Mailing address
2387 S 102ND ST, WEST ALLIS, WI 53227-2146
(414) 329-1171
(414) 329-1018
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4789-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33737300
—
WI
Enumeration date
09/21/2005
Last updated
07/09/2007
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