Provider Demographics
NPI:1437920089
Name:TRAN, TRINH THI (RDH)
Entity Type:Individual
Prefix:
First Name:TRINH
Middle Name:THI
Last Name:TRAN
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 S KING RD APT 430
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-1814
Mailing Address - Country:US
Mailing Address - Phone:408-887-3856
Mailing Address - Fax:
Practice Address - Street 1:2480 S KING RD APT 430
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-1814
Practice Address - Country:US
Practice Address - Phone:408-887-3856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34580124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist