Provider Demographics
NPI:1679998074
Name:TRAN Q. HAN, DDS INC.
Entity Type:Organization
Organization Name:TRAN Q. HAN, DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-548-8879
Mailing Address - Street 1:2095 LINCOLN AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-5478
Mailing Address - Country:US
Mailing Address - Phone:626-548-8879
Mailing Address - Fax:
Practice Address - Street 1:2095 LINCOLN AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-5478
Practice Address - Country:US
Practice Address - Phone:626-548-8879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-22
Last Update Date:2014-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA561551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty