Individual
BAO TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1670 BEAM AVE, MAPLEWOOD, MN 55109-1201
(651) 925-8400
Mailing address
1670 BEAM AVE, MAPLEWOOD, MN 55109-1201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13612
MN
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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