BO TRAN

GALLUP, NM
NPI1154603959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NM  DD3518)
Enumeration Date2011-09-16
Last Update Date2011-09-16
Business Address
-- BO TRAN DDS
516 EAST NIZHONI BLVD
GALLUP, NM 87301
Phone number: 505-722-1000
Mailing Address
-- BO TRAN DDS
P.O. BOX 1337
GALLUP, NM 87305-1337
Phone number: 505-722-1560
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