| NPI | 1336439785 |
|---|---|
| Former Name | NINA DIEM TRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 61734) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 61734) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2019-07-18 |