Individual
DR. MY LOAN THI TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4030 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-3011
(844) 761-9963
Mailing address
3331 CAMERON TRL, PEACHTREE CORNERS, GA 30092-3373
(678) 462-3100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015681
GA
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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