Individual
DR. AMANDA TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS042024
PA
1223G0001X
General Practice Dentistry
DL14824
MA
1223P0221X
Pediatric Dentistry
Primary
DS042024
PA
Other
Enumeration date
12/27/2018
Last updated
07/01/2022
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