Individual
MY KIM TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
7534 LIMESTONE DR, GAINESVILLE, VA 20155-4005
(703) 754-1580
Mailing address
7534 LIMESTONE DR, GAINESVILLE, VA 20155-4005
(703) 754-1580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412750
VA
Other
Enumeration date
08/03/2010
Last updated
06/04/2012
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