Provider Demographics
NPI:1245409077
Name:THIEN TRANG NGUYEN DDS INC
Entity Type:Organization
Organization Name:THIEN TRANG NGUYEN DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES.
Authorized Official - Prefix:DR
Authorized Official - First Name:TRANG
Authorized Official - Middle Name:THI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-544-9800
Mailing Address - Street 1:14520 NEWPORT AVE
Mailing Address - Street 2:STE A
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-1018
Mailing Address - Country:US
Mailing Address - Phone:714-544-9800
Mailing Address - Fax:
Practice Address - Street 1:14520 NEWPORT AVE
Practice Address - Street 2:STE A
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-1018
Practice Address - Country:US
Practice Address - Phone:714-544-9800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA394571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty