Provider Demographics
NPI:1134693211
Name:KRISTINE NGA HOANG TRAN, DMD, INC.
Entity Type:Organization
Organization Name:KRISTINE NGA HOANG TRAN, DMD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:NGA HOANG
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:714-891-2831
Mailing Address - Street 1:8413 WESTMINSTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3308
Mailing Address - Country:US
Mailing Address - Phone:714-891-2831
Mailing Address - Fax:714-891-2851
Practice Address - Street 1:8413 WESTMINSTER BLVD
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3308
Practice Address - Country:US
Practice Address - Phone:714-891-2831
Practice Address - Fax:714-891-2851
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-11
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental