Provider Demographics
NPI:1417078353
Name:TRAN, LAN TU (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAN
Middle Name:TU
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 E BELT LINE RD
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-4619
Mailing Address - Country:US
Mailing Address - Phone:972-234-4747
Mailing Address - Fax:972-783-7193
Practice Address - Street 1:1501 E BELT LINE RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-4619
Practice Address - Country:US
Practice Address - Phone:972-234-4747
Practice Address - Fax:972-783-7193
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX182901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice