Individual
TRACEY MONG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4799
(401) 457-3018
Mailing address
24 REDLAND ST, SHREWSBURY, MA 01545-4373
(774) 287-3566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859754
MA
Other
Enumeration date
05/31/2022
Last updated
06/09/2023
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