Organization
MY G TRAN DDS PROF CORP
Active
Other names
Image Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MY G TRAN D.D.S (OWNER)
(702) 405-7400
Entity
Organization
Contact information
Practice address
7545 W SAHARA AVE, STE 200, LAS VEGAS, NV 89117-2866
(700) 838-0707
Mailing address
10470 W CHEYENNE AVE, STE 110, LAS VEGAS, NV 89129-8732
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5586
NV
Other
Enumeration date
07/09/2008
Last updated
05/12/2010
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