Provider Demographics
NPI:1336295542
Name:LAW, CHI TRAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHI
Middle Name:TRAN
Last Name:LAW
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2011 WESTCLIFF DR STE 10
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5508
Mailing Address - Country:US
Mailing Address - Phone:949-646-5411
Mailing Address - Fax:949-646-5391
Practice Address - Street 1:2011 WESTCLIFF DR STE 10
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5508
Practice Address - Country:US
Practice Address - Phone:949-646-5411
Practice Address - Fax:949-646-5391
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA517701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice