Terrie X Tran Dds Pc | |
10545 S Eastern Ave Ste 140 Henderson NV 89052-3973 | |
(702) 492-9399 | |
(702) 492-6326 |
Full Name | Terrie X Tran Dds Pc |
---|---|
Speciality | Dentist |
Location | 10545 S Eastern Ave Ste 140, Henderson, Nevada |
Authorized Official Name and Position | Sandra Lee Despiganovicz (ADMINISTRATOR) |
Authorized Official Contact | 7024929399 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Terrie X Tran Dds Pc 10545 S. Eastern Ave 140 Henderson NV 89052-3973 Ph: (702) 492-9399 | Terrie X Tran Dds Pc 10545 S Eastern Ave Ste 140 Henderson NV 89052-3973 Ph: (702) 492-9399 |
NPI Number | 1528305265 |
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Provider Enumeration Date | 01/15/2013 |
Last Update Date | 01/15/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528305265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4178 (Nevada) | Primary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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