MEDICARE: DR. BINH TRONG 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
1	1223G0001X	General Practice Dentistry	18161	TX

General Provider Information

NPI Number	:	1447263603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BINH TRONG TRAN D.D.S.

Provider Business Mailing Address
First Line	:	2399 S COLLINS ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014-1236
Country	:	US
Telephone Number	:	817-459-7993
Fax Number	:

Provider Business Practice Location Address
First Line	:	2399 SOUTH COLLINS ST
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76014
Country	:	US
Telephone Number	:	817-459-7993
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	07/18/2008

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