Individual
MY-HAN SANDY TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
70 STRATFORD DR, BLOOMINGDALE, IL 60108-2201
(630) 893-5253
Mailing address
1406 SANDCHERRY LN, WEST CHICAGO, IL 60185-5974
(630) 890-4234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019029842
IL
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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