DR. Trang Khanh Mai, D.D.S.

NPI #1104995885 in South Bend, Indiana

Provider Information

NPI Number
1104995885
Entity Type
Individual
Name
DR. Trang Khanh Mai, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Nov 7, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1637 PORTAGE AVE
State
Indiana
ZIP Code
46616-1743
Phone
(574) 233-8444

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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