Individual
KENNY C. TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2905 SW CEDAR HILLS BLVD STE 120, BEAVERTON, OR 97005-1342
(503) 396-4071
Mailing address
17723 SW FALLING LEAF CT, BEAVERTON, OR 97003-7565
(503) 928-9710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10890
OR
Other
Enumeration date
08/04/2018
Last updated
08/04/2018
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