Provider Demographics
NPI:1811033814
Name:TRAN, DANIEL DZUNG (DDS)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:DZUNG
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 1:15042 SUMMERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-5476
Mailing Address - Country:US
Mailing Address - Phone:714-725-2310
Mailing Address - Fax:
Practice Address - Street 1:10451 BOLSA AVE STE 110
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6756
Practice Address - Country:US
Practice Address - Phone:714-839-3636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51145122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist