Provider Demographics
NPI:1689818775
Name:TRAN N. DANG, D.M.D., P.S.
Entity Type:Organization
Organization Name:TRAN N. DANG, D.M.D., P.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:TRAN
Authorized Official - Middle Name:NGOC
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:235-476-8003
Mailing Address - Street 1:3815 S M ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98418-3933
Mailing Address - Country:US
Mailing Address - Phone:253-476-8003
Mailing Address - Fax:253-476-8004
Practice Address - Street 1:3815 S M ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98418-3933
Practice Address - Country:US
Practice Address - Phone:253-476-8003
Practice Address - Fax:253-476-8004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00010246122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty