NPI 1154603959

Bo Tran, DDS

Practitioner Dentist Gallup, NM

Practice location

Address: 516 East Nizhoni Blvd, Gallup, NM 87301
Phone: (505) 722-1000
Mailing address: P.O. Box 1337, Gallup, NM 87305-1337

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DD3518 (NM)

Other Dentist providers in New Mexico →

Registry record

NPI: 1154603959
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2011
Record last updated: 16 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.