Provider Demographics
NPI:1558349043
Name:TRAN, THU D (DDS)
Entity Type:Individual
Prefix:DR
First Name:THU
Middle Name:D
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8712 LAUREL CANYON RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3916
Mailing Address - Country:US
Mailing Address - Phone:214-893-6666
Mailing Address - Fax:972-556-2154
Practice Address - Street 1:3355 TRINITY MILLS ROAD
Practice Address - Street 2:SUITE 209
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75284-0001
Practice Address - Country:US
Practice Address - Phone:972-306-3282
Practice Address - Fax:972-862-6792
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX221801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice