Tran, Larry

Tran, Larry is an sole proprietor health care provider with primary practice located at 2727 W Cleveland Ave 2Nd Floor, Milwaukee WI 53215-2908. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Tran, Larry can be contacted via phone (414) 383-5500.

Contact Information

Primary practice address
2727 W Cleveland Ave 2Nd Floor Milwaukee WI 53215-2908
Fax: (414) 383-5400
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4911 Wisconsin

Profile Details

NPI number 1073597837
LBN Legal business name Tran, Larry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated Jul 9th, 2007 - about 17 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 1073597837 NPPES
Wisconsin MEDICAID 33741000

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