Provider Demographics
NPI:1821390071
Name:DANIEL DZUNG TRAN DDS INC
Entity Type:Organization
Organization Name:DANIEL DZUNG TRAN DDS INC
Other - Org Name:DR. D. DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:DZUNG
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-839-3636
Mailing Address - Street 1:10451 BOLSA AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6756
Mailing Address - Country:US
Mailing Address - Phone:714-839-3636
Mailing Address - Fax:714-839-3837
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:714-839-3837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-20
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51145261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental