Provider Demographics
NPI:1477811651
Name:TRANG, FLORA (DDS)
Entity Type:Individual
Prefix:
First Name:FLORA
Middle Name:
Last Name:TRANG
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 1:8035 S RAINBOW BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-6549
Mailing Address - Country:US
Mailing Address - Phone:702-896-7211
Mailing Address - Fax:
Practice Address - Street 1:8035 S RAINBOW BLVD STE 102
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-6549
Practice Address - Country:US
Practice Address - Phone:702-896-7211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901021804122300000X
NV7448122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist