Provider Demographics
NPI:1760579080
Name:TRAN, HUEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:HUEY
Middle Name:
Last Name:TRAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39400 MURRIETA HOT SPRINGS RD
Mailing Address - Street 2:SUITE 123B
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 123B
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
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA443711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice