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Individual

AI TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
5656 EDWARDS RANCH RD STE 201, FORT WORTH, TX 76109-4137
(504) 261-0935
Mailing address
5656 EDWARDS RANCH RD STE 201, FORT WORTH, TX 76109-4137

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
38190
TX

Other

Enumeration date
01/14/2021
Last updated
10/23/2025
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