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Individual

ANDREW TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
PSC 475 BOX 1, FPO, AP 96350-1200
(669) 237-8365
Mailing address
PSC 475 BOX 1, FPO, AP 96350-1200

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13440632-9926
UT
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
04/14/2023
Last updated
05/15/2026
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