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NPI Code Detail

MEDICARE: DR. DUNG V TRAN D.D.S.

MEDICARE:  DR. DUNG V TRAN  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry9332NC

General Provider Information

NPI Number : 1326300625
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUNG V TRAN D.D.S.
Provider Business Mailing Address
First Line : 11332 FOUNTAINGROVE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-6457
Country : US
Telephone Number : 704-941-8108
Fax Number :
Provider Business Practice Location Address
First Line : 1307 E FRANKLIN ST
Second Line : SUITE C
City : MONROE
State : NC
Zip : 28112-5196
Country : US
Telephone Number : 704-776-4278
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2012
Last Update Date : 06/12/2012

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Directions to “ DR. DUNG V TRAN D.D.S.” Practice Location

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