Organization
THAILONG TRAN DDS LLC
Active
Other names
Park Center Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAILONG TRAN D.D.S. (MEMBER)
(301) 776-9686
Entity
Organization
Contact information
Practice address
14207 PARK CENTER DR, STE 105, LAUREL, MD 20707-5248
(301) 776-9686
(301) 776-9680
Mailing address
14207 PARK CENTER DR, STE 105, LAUREL, MD 20707-5248
(301) 776-9686
(301) 776-9680
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16183
MD
Other
Enumeration date
11/25/2016
Last updated
11/25/2016
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