| NPI | 1265412126 |
|---|---|
| Former Name | TRAN BAO QUACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D9389) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN DS8596) |
| 122300000X Dentist (Licence: HI DT2135) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2019-09-20 |