Individual
DR. JESSE TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6573 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2918
(267) 515-6162
Mailing address
6573 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2918
(676) 668-8001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043286
PA
Other
Enumeration date
07/23/2021
Last updated
01/13/2022
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