Provider Demographics
NPI:1144768904
Name:TRAN, ROSEMARY K (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:K
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3991 GRAND AVE STE D
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-5442
Mailing Address - Country:US
Mailing Address - Phone:909-591-0077
Mailing Address - Fax:
Practice Address - Street 1:1011 N UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-1078
Practice Address - Country:US
Practice Address - Phone:734-764-1523
Practice Address - Fax:734-615-7294
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA1010571223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry