Provider Demographics
NPI:1376836403
Name:TRAN, QUOC HOA (DMD)
Entity Type:Individual
Prefix:DR
First Name:QUOC
Middle Name:HOA
Last Name:TRAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:JOHNNY
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:2511 NORTHMONT PKWY
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-4144
Mailing Address - Country:US
Mailing Address - Phone:404-966-7245
Mailing Address - Fax:
Practice Address - Street 1:5920 PARKWAY NORTH BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-8257
Practice Address - Country:US
Practice Address - Phone:770-889-5335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-23
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN014254122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist