Individual
TERESA T TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
601 E WHITESTONE BLVD STE 400, CEDAR PARK, TX 78613-9041
(408) 712-3069
Mailing address
5811 KENTUCKY DERBY, AUSTIN, TX 78746-1140
(408) 712-3069
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
38031
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
64959
CA
Other
Enumeration date
08/17/2015
Last updated
02/05/2022
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