Individual
DR. ANDREW NGOC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
555 GRANTS FERRY RD, BRANDON, MS 39047-9023
(601) 992-1371
Mailing address
1536 E NORTHSIDE DR, JACKSON, MS 39211-5607
(601) 466-6417
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4003-18
MS
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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