Individual
DANIEL THE-ANH TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12453 TIMBERLAND BLVD STE 113, FORT WORTH, TX 76244-5209
(817) 431-2979
(817) 776-5067
Mailing address
12453 TIMBERLAND BLVD STE 113, FORT WORTH, TX 76244-5209
(817) 431-2979
(817) 776-5067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36814
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/01/2019
Last updated
02/01/2022
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