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NPI Code Detail

MEDICARE: TRAN TONGSIRI I PLLC

MEDICARE: TRAN TONGSIRI I PLLC
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
1122300000XDentist

General Provider Information

NPI Number : 1720485998
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRAN TONGSIRI I PLLC
Provider Business Mailing Address
First Line : 7545 W SAHARA AVE
Second Line : SUITE 200
City : LAS VEGAS
State : NV
Zip : 89117-2866
Country : US
Telephone Number : 702-997-7707
Fax Number :
Provider Business Practice Location Address
First Line : 7101 W CRAIG RD
Second Line : SUITE 102
City : LAS VEGAS
State : NV
Zip : 89129-6058
Country : US
Telephone Number : 702-515-0553
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : LINDY MICHELLE ROMERO
Credential :
Telephone Number : 702-997-7707
Provider Enumeration Date : 12/03/2014
Last Update Date : 12/03/2014

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Directions to “TRAN TONGSIRI I PLLC ” Practice Location

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