Organization
TERRIE X TRAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA LEE DESPIGANOVICZ (ADMINISTRATOR)
(702) 492-9399
Entity
Organization
Contact information
Practice address
10545 S EASTERN AVE STE 140, HENDERSON, NV 89052-3973
(702) 492-9399
(702) 492-6326
Mailing address
10545 S. EASTERN AVE 140, HENDERSON, NV 89052-3973
(702) 492-9399
(702) 492-6326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4178
NV
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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