| NPI | 1497959159 |
|---|---|
| Former Name | HOA DIEP TRAN NGUYEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 150621) |
| Additional Taxonomies | 122300000X Dentist (Licence: NC 150621) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-12-17 |