Provider Demographics
NPI:1376646232
Name:TRINH, VAN T (DDS)
Entity Type:Individual
Prefix:DR
First Name:VAN
Middle Name:T
Last Name:TRINH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2860 MICHELLE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-1009
Mailing Address - Country:US
Mailing Address - Phone:714-508-3600
Mailing Address - Fax:714-368-2092
Practice Address - Street 1:13721 NEWPORT AVE
Practice Address - Street 2:STE. 1
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-4690
Practice Address - Country:US
Practice Address - Phone:714-368-1400
Practice Address - Fax:714-368-1411
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA532821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice