Individual
VY THANH TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4550 3RD AVE SE, LACEY, WA 98503-1033
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61219783
WA
1223G0001X
General Practice Dentistry
D11300
OR
Other
Enumeration date
08/28/2020
Last updated
02/01/2022
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