Individual
NHUNG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
76 MANNING LN, EAST HARTFORD, CT 06118-1614
(860) 978-0929
Mailing address
76 MANNING LN, EAST HARTFORD, CT 06118-1614
(860) 978-0929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
62993
CA
1223G0001X
General Practice Dentistry
Primary
010631
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004011136
—
CT
Enumeration date
06/30/2011
Last updated
11/12/2013
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