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Individual

DR. JOHN BOSCO TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
27949 JUBAN RD, DENHAM SPRINGS, LA 70726-7915
(225) 243-7704
Mailing address
11425 N EASTERLYN CIR, NEW ORLEANS, LA 70128-5203
(504) 610-2502

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6934
LA
390200000X
Student in an Organized Health Care Education/Training Program
LA

Other

Enumeration date
03/28/2018
Last updated
08/21/2019
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