Individual
DR. TRACY T TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S, M.S.
Contact information
Practice address
3401 GREENBRIAR, SUITE 300, MIDLAND, TX 79707-4652
(432) 682-1614
Mailing address
2990 BLACKBURN ST, #3140, DALLAS, TX 75204-3113
(323) 303-6291
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30818
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2011
Last updated
04/26/2016
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