Individual
TRA KHANH NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5418
Mailing address
2349 S PASEO LOMA CIR, MESA, AZ 85202-6444
(404) 952-5643
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN29530
FL
Other
Enumeration date
05/01/2024
Last updated
07/22/2025
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