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General NPI Number Information
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NPI Number | 1306669379
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Entity Type | Organization
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Legal Business Name | KIMBERLY TRAN DDS PLLC
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Dates
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Enumeration Date | 11/06/2024
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 632 E SANDY LAKE RD
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City | COPPELL
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State | TX
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Zip | 75019-3019
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Country | US
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Telephone | 469-333-3196
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Fax |
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Provider Business Mailing Address
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Address Line | 632 E SANDY LAKE RD
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City | COPPELL
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State | TX
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Zip | 75019-3019
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Country | US
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Telephone | 972-393-9779
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY TRAN
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Credential | DDS
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Telephone | 972-393-9779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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