Provider Demographics
NPI:1003967548
Name:TRAN, CINDY (DDS)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49271 GRAPEFRUIT BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:COACHELLA
Mailing Address - State:CA
Mailing Address - Zip Code:92236-1485
Mailing Address - Country:US
Mailing Address - Phone:760-398-3636
Mailing Address - Fax:760-398-2220
Practice Address - Street 1:49271 GRAPEFRUIT BLVD STE 1
Practice Address - Street 2:
Practice Address - City:COACHELLA
Practice Address - State:CA
Practice Address - Zip Code:92236-1485
Practice Address - Country:US
Practice Address - Phone:760-398-3636
Practice Address - Fax:760-398-2220
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47814122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist