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NPI Code Detail

MEDICARE: MISS TRANG THI AN TO DDS

MEDICARE:  MISS TRANG THI AN TO  DDS
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
1122300000XDentist30021454OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902865173
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TRANG THI AN TO DDS
Provider Business Mailing Address
First Line : 4452 GARY WAY
Second Line :
City : HILLIARD
State : OH
Zip : 43026
Country : US
Telephone Number : 614-777-4470
Fax Number :
Provider Business Practice Location Address
First Line : 1570 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43211-2755
Country : US
Telephone Number : 614-258-3880
Fax Number : 614-252-5873
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 12/27/2012

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Directions to “ MISS TRANG THI AN TO DDS” Practice Location

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