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Individual

MISS TRANG THI AN TO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1570 CLEVELAND AVE, COLUMBUS, OH 43211-2755
(614) 258-3880
(614) 252-5873
Mailing address
4452 GARY WAY, HILLIARD, OH 43026
(614) 777-4470

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30021454
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2278128
OH
Enumeration date
03/17/2006
Last updated
12/27/2012
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