Individual
DR. TU MINH TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1756 CANDLER RD, DECATUR, GA 30032-3277
(770) 916-5028
(678) 247-7858
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-5028
(678) 247-7858
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN012562
GA
1223G0001X
General Practice Dentistry
0401411091
VA
1223G0001X
General Practice Dentistry
1201799A
IN
1223G0001X
General Practice Dentistry
21450
MA
1223G0001X
General Practice Dentistry
D4000
SC
1223G0001X
General Practice Dentistry
DEN7829
CO
1223G0001X
General Practice Dentistry
DN012562
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000947009B
—
GA
05
—
000947009C
—
GA
05
—
000947009D
—
GA
05
—
000947009F
—
GA
05
—
000947009H
—
GA
05
—
000947009I
—
GA
05
—
000947009K
—
GA
05
—
000947009L
—
GA
05
—
009934653
—
AL
05
—
9179164
—
VA
Enumeration date
07/26/2006
Last updated
11/03/2017
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