Provider Demographics
NPI:1760991657
Name:TRIEU TON DENTAL, PC
Entity Type:Organization
Organization Name:TRIEU TON DENTAL, PC
Other - Org Name:ARBOR DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TRIEU
Authorized Official - Middle Name:PHUOC
Authorized Official - Last Name:TON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-453-2333
Mailing Address - Street 1:6471 LONE TREE WAY STE 301
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-5265
Mailing Address - Country:US
Mailing Address - Phone:925-453-2333
Mailing Address - Fax:
Practice Address - Street 1:6471 LONE TREE WAY STE 301
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-5265
Practice Address - Country:US
Practice Address - Phone:925-453-2333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA594811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty