Provider Demographics
NPI:1477289635
Name:TRAN, DAVID VINH (DMD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:VINH
Last Name:TRAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9515 MCFADDEN AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6923
Mailing Address - Country:US
Mailing Address - Phone:714-949-9279
Mailing Address - Fax:
Practice Address - Street 1:926 FRANKLIN AVE.
Practice Address - Street 2:
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93246-5004
Practice Address - Country:US
Practice Address - Phone:559-998-4220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-28
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002052971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice