Provider Demographics
NPI:1518157312
Name:TRAN, DARLENE (DDS)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:
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 1:1936 E DEERE AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-5732
Mailing Address - Country:US
Mailing Address - Phone:949-567-3116
Mailing Address - Fax:866-666-9677
Practice Address - Street 1:1936 E DEERE AVE STE 130
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-5732
Practice Address - Country:US
Practice Address - Phone:949-567-3116
Practice Address - Fax:866-666-9677
Is Sole Proprietor?:No
Enumeration Date:2007-07-27
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA421961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice