Provider Demographics
NPI:1326140641
Name:TRAN, DOAN TRANG THI (DDS)
Entity Type:Individual
Prefix:
First Name:DOAN TRANG
Middle Name:THI
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 RHOANOKE DR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-4358
Mailing Address - Country:US
Mailing Address - Phone:678-353-6251
Mailing Address - Fax:
Practice Address - Street 1:7760 SPALDING DR
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30092
Practice Address - Country:US
Practice Address - Phone:770-270-5700
Practice Address - Fax:770-209-0824
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAND0142531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice