Individual
MISS TRAN DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2574 MARCIA CT, BILOXI, MS 39531-2341
(228) 388-9545
Mailing address
842 LAKEWOOD PL, BILOXI, MS 39532-4215
(228) 235-5814
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4138-13DH
MS
Other
Enumeration date
11/10/2013
Last updated
11/10/2013
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