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1063082170
TONY VAN TRAN
FOND DU LAC, WI
NPI
1063082170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 1002615-15)
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
TONY VAN TRAN DMD
885 WESTERN AVE STE 300
FOND DU LAC, WI 54935-3874
Phone number: 920-923-6766
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Mailing Address
TONY VAN TRAN DMD
622 PENNSYLVANIA AVE UNIT 512
SHEBOYGAN, WI 53081-4662
Phone number: 912-441-5573
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