Individual
VY BAO TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 GATEWAY ST STE MT110, SPRINGFIELD, OR 97477-7754
(541) 747-9400
Mailing address
2820 GATEWAY ST STE MT110, SPRINGFIELD, OR 97477-7754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D11658
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2022
Last updated
07/27/2023
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