Individual
DR. CHRISTA LEIGH TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
535 E DIVISION ST, FOND DU LAC, WI 54935-3735
(920) 921-8950
Mailing address
622 PENNSYLVANIA AVE UNIT 512, SHEBOYGAN, WI 53081-4662
(912) 344-5998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1002579-15
WI
Other
Enumeration date
06/23/2021
Last updated
08/30/2021
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