Provider Demographics
NPI:1578013926
Name:HUEY Q TRAN, DDS, INC.
Entity Type:Organization
Organization Name:HUEY Q TRAN, DDS, INC.
Other - Org Name:MARGARITA DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:HUEY
Authorized Official - Middle Name:Q
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-691-3888
Mailing Address - Street 1:39400 MURRIETA HOT SPRINGS RD
Mailing Address - Street 2:SUITE 123-B
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-7707
Mailing Address - Country:US
Mailing Address - Phone:951-461-7470
Mailing Address - Fax:951-461-7480
Practice Address - Street 1:39400 MURRIETA HOT SPRINGS RD
Practice Address - Street 2:SUITE 123-B
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-7707
Practice Address - Country:US
Practice Address - Phone:951-461-7470
Practice Address - Fax:951-461-7480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA494531223E0200X
CA559281223E0200X
CA443711223G0001X
CA547821223G0001X
CA587301223G0001X
CA507271223G0001X
CA537391223P0300X
CA552201223S0112X
CA580591223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty