Individual
EVAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S BROAD ST STE 1530, PHILADELPHIA, PA 19110-1026
(267) 691-0606
Mailing address
1010 RACE ST APT 7E, PHILADELPHIA, PA 19107-2334
(954) 937-0886
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN 20488
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS040647
PA
Other
Enumeration date
09/23/2015
Last updated
06/15/2023
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