Individual
PHU TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
(617) 740-2277
Mailing address
1353 DORCHESTER AVE, DORCHESTER, MA 02122-2932
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856062
MA
Other
Enumeration date
07/05/2012
Last updated
08/22/2014
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