Individual
DIEP TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7955 S MAIN ST, OAK CREEK, WI 53154-1901
(414) 216-9211
Mailing address
3220 W HOWARD AVE, MILWAUKEE, WI 53221-1204
(414) 801-1131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100119515
WI
Other
Enumeration date
05/16/2014
Last updated
09/22/2016
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