Provider Demographics
NPI:1295395796
Name:PLEASANT HILL PROSTHODONTICS
Entity Type:Organization
Organization Name:PLEASANT HILL PROSTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THUY TRAN
Authorized Official - Middle Name:THIEN
Authorized Official - Last Name:HOANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-681-1801
Mailing Address - Street 1:3647 PERADA DR
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2743
Mailing Address - Country:US
Mailing Address - Phone:949-690-3849
Mailing Address - Fax:
Practice Address - Street 1:401 GREGORY LN STE 130
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2836
Practice Address - Country:US
Practice Address - Phone:925-681-1801
Practice Address - Fax:925-681-1802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty