Provider Demographics
NPI:1770029811
Name:GIANG TUNG TRAN
Entity Type:Organization
Organization Name:GIANG TUNG TRAN
Other - Org Name:HEARTY SMILES DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DDS, MS/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GIANG
Authorized Official - Middle Name:TUNG
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-839-7979
Mailing Address - Street 1:10161 BOLSA AVE
Mailing Address - Street 2:SUITE 209-A
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6768
Mailing Address - Country:US
Mailing Address - Phone:714-839-7979
Mailing Address - Fax:714-839-8686
Practice Address - Street 1:10161 BOLSA AVE
Practice Address - Street 2:SUITE 209-A
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6768
Practice Address - Country:US
Practice Address - Phone:714-839-7979
Practice Address - Fax:714-839-8686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1000961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty