Individual
DR. THAILONG BERNARD TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14207 PARK CENTER DR, STE 105, LAUREL, MD 20707-5248
(301) 776-9686
Mailing address
14207 PARK CENTER DR, STE 105, LAUREL, MD 20707-5248
(301) 776-9686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413856
VA
122300000X
Dentist
Primary
16183
MD
Other
Enumeration date
07/03/2012
Last updated
08/25/2016
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