Provider Demographics
NPI:1790992931
Name:TRAN, KAREN T (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:T
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:T
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2291 S FORT APACHE RD
Mailing Address - Street 2:LAS VEGAS
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5895
Mailing Address - Country:US
Mailing Address - Phone:702-869-0001
Mailing Address - Fax:702-869-5554
Practice Address - Street 1:2291 S FORT APACHE RD
Practice Address - Street 2:LAS VEGAS
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5895
Practice Address - Country:US
Practice Address - Phone:702-869-0001
Practice Address - Fax:702-869-5554
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV37751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice