Provider Demographics
NPI:1508132663
Name:LINH TRAN DDS LLC
Entity Type:Organization
Organization Name:LINH TRAN DDS LLC
Other - Org Name:QUALITY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINH
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:763-639-5076
Mailing Address - Street 1:1736 COPE AVE E STE 2
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-2661
Mailing Address - Country:US
Mailing Address - Phone:651-315-8868
Mailing Address - Fax:651-770-2952
Practice Address - Street 1:1736 COPE AVE E STE 2
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-2661
Practice Address - Country:US
Practice Address - Phone:651-315-8868
Practice Address - Fax:651-770-2952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND126861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty