NPI | 1225243173 |
---|---|
Former Name | ANNE UYEN Q. TRAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MA 21421) |
Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: CT 009029) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2007-07-09 |