Individual
THUY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
4960 S EMERSON AVE, INDIANAPOLIS, IN 46203-5937
(317) 830-0428
Mailing address
9849 N ANCHOR BND, MCCORDSVILLE, IN 46055-5511
(317) 851-7581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12014782A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2025
Last updated
06/08/2025
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