Provider Demographics
NPI:1033242524
Name:TRAN, NOREEN N (DDS)
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:N
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 1:157 WEATHERVANE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92603-4226
Mailing Address - Country:US
Mailing Address - Phone:714-654-9933
Mailing Address - Fax:
Practice Address - Street 1:1825 W LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-6731
Practice Address - Country:US
Practice Address - Phone:714-999-2700
Practice Address - Fax:714-999-2700
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA454141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD 45414OtherDENTICAL RENDERING NUMBER
CAG 93375-01OtherDENTI-CAL PROVIDER NUMBER