Provider Demographics
NPI:1073665386
Name:TRAN, BANG HAI (DDS)
Entity Type:Individual
Prefix:DR
First Name:BANG
Middle Name:HAI
Last Name:TRAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:7631 WESTMINSTER BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3990
Mailing Address - Country:US
Mailing Address - Phone:714-895-4030
Mailing Address - Fax:714-895-3793
Practice Address - Street 1:7631 WESTMINSTER BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3990
Practice Address - Country:US
Practice Address - Phone:714-895-4030
Practice Address - Fax:714-895-3793
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV3744122300000X
CA46437122300000X
AZ6900122300000X
ORD7680122300000X
WADE8866122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV2212070Medicaid
NV71066OtherNEVADA PACIFIC DENTAL