Provider Demographics
NPI:1275876203
Name:TRAN LE TRAN AND TOUNIAN DENTAL
Entity Type:Organization
Organization Name:TRAN LE TRAN AND TOUNIAN DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-755-9911
Mailing Address - Street 1:7545 W SAHARA AVE
Mailing Address - Street 2:200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2866
Mailing Address - Country:US
Mailing Address - Phone:702-838-0707
Mailing Address - Fax:
Practice Address - Street 1:23595 MOULTON PKWY
Practice Address - Street 2:1
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1939
Practice Address - Country:US
Practice Address - Phone:702-838-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42434122300000X
CA46907122300000X
CA55892122300000X
CA56027122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty