Individual
QUOC-KIET TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
62 BOYLSTON ST APT 503, BOSTON, MA 02116-4796
(857) 544-6920
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DL15016
MA
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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