Provider Demographics
NPI:1831116409
Name:TRAN, LUAN K (DDS)
Entity Type:Individual
Prefix:DR
First Name:LUAN
Middle Name:K
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 1:11160 HURON ST
Mailing Address - Street 2:STE 102
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4377
Mailing Address - Country:US
Mailing Address - Phone:303-451-5111
Mailing Address - Fax:303-452-2988
Practice Address - Street 1:11160 HURON ST
Practice Address - Street 2:STE 102
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4377
Practice Address - Country:US
Practice Address - Phone:303-451-5111
Practice Address - Fax:303-452-2988
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2014-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7342122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist