| NPI | 1902065584 |
|---|---|
| Former Name | DOROTHY TRAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE60159271) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 2730) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2013-09-20 |