Provider Demographics
NPI:1376761122
Name:ANTHONY H. TRAN,DDS & EMILY NGUYEN,DDS, INC.,
Entity Type:Organization
Organization Name:ANTHONY H. TRAN,DDS & EMILY NGUYEN,DDS, INC.,
Other - Org Name:STANDIFORD DENTAL OFFICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:H
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:209-579-0446
Mailing Address - Street 1:2900 STANDIFORD AVE
Mailing Address - Street 2:SUITE 19
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-0167
Mailing Address - Country:US
Mailing Address - Phone:209-579-0446
Mailing Address - Fax:209-572-5060
Practice Address - Street 1:2900 STANDIFORD AVE
Practice Address - Street 2:SUITE 19
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-0167
Practice Address - Country:US
Practice Address - Phone:209-579-0446
Practice Address - Fax:209-572-5095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA459911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty