Individual
JACQUELINE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
59 WASHINGTON AVE, CHELSEA, MA 02150
(617) 889-2668
Mailing address
299 BEACON ST APT 5, BOSTON, MA 02116-1103
(714) 553-1772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1857996
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2017
Last updated
06/28/2018
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