Tran, Chan D

Tran, Chan D is an individual health care provider with primary practice located at 2387 S 102Nd St , West Allis WI 53227-2146. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tran, Chan D can be contacted via phone (414) 329-1171.

Contact Information

Primary practice address
2387 S 102Nd St West Allis WI 53227-2146
Phone: (414) 329-1171
Fax: (414) 329-1018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4789-015 Wisconsin

Profile Details

NPI number 1285620682
LBN Legal business name Tran, Chan D
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285620682 NPPES
Wisconsin MEDICAID 33737300

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