Individual
DR. DUC VAN TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
600 DEMERS AVE, SUITE 304, GRAND FORKS, ND 58201-4599
(701) 775-7611
Mailing address
600 DEMERS AVE, SUITE 304, GRAND FORKS, ND 58201-4599
(701) 775-7611
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
ND 1857
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ND1857
—
ND
Enumeration date
08/13/2007
Last updated
08/13/2007
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