Provider Demographics
NPI:1578047551
Name:TRAN AND NGUYEN DENTAL CORPORATION
Entity Type:Organization
Organization Name:TRAN AND NGUYEN DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMDUNG
Authorized Official - Middle Name:TRACY
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-816-7276
Mailing Address - Street 1:1171 HOMESTEAD RD. SUITE #214
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050
Mailing Address - Country:US
Mailing Address - Phone:408-816-7276
Mailing Address - Fax:669-342-5923
Practice Address - Street 1:1171 HOMESTEAD RD SUITE #214
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050
Practice Address - Country:US
Practice Address - Phone:408-816-7276
Practice Address - Fax:669-342-5923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-17
Last Update Date:2018-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty