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Individual

DR. ANDY TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S., D.M.D.

Contact information

Practice address
7050 AIR DEPOT BLVD BLDG 1094, TINKER AFB, OK 73145-8716
(405) 582-6454
Mailing address
11309 N BLACKWELDER AVE UNIT A, OKLAHOMA CITY, OK 73120-7900
(360) 628-1671

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13511125
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/30/2023
Last updated
02/04/2026
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