Provider Demographics
NPI:1275727034
Name:TRAN & LE DDS LLC
Entity Type:Organization
Organization Name:TRAN & LE DDS LLC
Other - Org Name:TLC MODERN DENTISTRY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:CALLAHAN
Authorized Official - Suffix:III
Authorized Official - Credentials:PHD
Authorized Official - Phone:240-888-8947
Mailing Address - Street 1:18220 CONTOUR RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2623
Mailing Address - Country:US
Mailing Address - Phone:301-208-0002
Mailing Address - Fax:
Practice Address - Street 1:18220 CONTOUR RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20877-2623
Practice Address - Country:US
Practice Address - Phone:301-208-0002
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty