Provider Demographics
NPI:1336101724
Name:TRAN, NGOC NHUNG (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:NGOC NHUNG
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 EL CAMINO REAL # 622
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-5240
Mailing Address - Country:US
Mailing Address - Phone:650-376-3326
Mailing Address - Fax:650-595-3636
Practice Address - Street 1:405 EL CAMINO REAL # 622
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-5240
Practice Address - Country:US
Practice Address - Phone:650-235-5816
Practice Address - Fax:650-376-3326
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39720122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist