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Individual

DR. THEODORE TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
15317 W BELL RD STE 108, SURPRISE, AZ 85374-3901
(877) 809-5092
(623) 214-5231
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(623) 583-3001
(623) 583-3007

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D011795
AZ
1223G0001X
General Practice Dentistry
D011795
AZ

Other

Enumeration date
06/06/2023
Last updated
09/29/2023
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