Individual
MRS. MYVAN T TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
5960 KINGSTOWNE CENTER BLVD, SUITE 140, ALEXANDRIA, VA 22315
(703) 719-9210
(703) 719-6330
Mailing address
6117 LES DORSON LN, ALEXANDRIA, VA 22315-3224
(703) 924-1215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410626
VA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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