Individual
PAUL TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
516 E. NIZHONI BLVD, GALLUP, NM 87301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415331
VA
122300000X
Dentist
16032
MD
122300000X
Dentist
DEN1001642
DC
Other
Enumeration date
08/30/2016
Last updated
03/17/2018
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