Organization
DUYEN TRAN DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUYEN TRAN DMD (PRESIDENT)
(817) 921-2900
Entity
Organization
Contact information
Practice address
2417 PARK HILL DR, STE B, FORT WORTH, TX 76110-2200
(817) 921-2900
(817) 921-2902
Mailing address
2417 PARK HILL DR, STE B, FORT WORTH, TX 76110-2200
(817) 921-2900
(817) 921-2902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22149
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183342801
—
TX
Enumeration date
07/08/2008
Last updated
07/08/2008
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