Individual
BO DINH TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17710 W ELLIOT RD, GOODYEAR, AZ 85338-9000
(623) 267-1267
Mailing address
29968 N 71ST AVE, PEORIA, AZ 85383-3050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7491
OK
122300000X
Dentist
Primary
D011550
AZ
Other
Enumeration date
06/22/2021
Last updated
08/31/2022
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