Individual
BACH-TUYET TRAN-JEFFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10630 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-3264
(410) 884-3666
Mailing address
10630 LITTLE PATUXENT PKWY, COLUMBIA, MD 21044-3264
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8613
MD
Other
Enumeration date
02/04/2007
Last updated
07/08/2007
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