| Tran Dental Pc | |
|
8647 Wurzbach #a San Antonio TX 78240-1296 | |
| (210) 690-9430 | |
| (210) 690-2919 |
| Full Name | Tran Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 8647 Wurzbach #a, San Antonio, Texas |
| Authorized Official Name and Position | Lan M Tran (DENTIST) |
| Authorized Official Contact | 2106743700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tran Dental Pc 8647 Wurzbach #a San Antonio TX 78240-1296 Ph: (210) 690-2919 | Tran Dental Pc 8647 Wurzbach #a San Antonio TX 78240-1296 Ph: (210) 690-9430 |
| NPI Number | 1326172891 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326172891 | NPI | - | NPPES |
| 159776701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 18507 (Texas) | Primary |
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