Provider Demographics
NPI:1831323559
Name:DENTAL PLUS OFFICE
Entity Type:Organization
Organization Name:DENTAL PLUS OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-775-9901
Mailing Address - Street 1:80120 US HIGHWAY 111
Mailing Address - Street 2:SUITE #3
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-8356
Mailing Address - Country:US
Mailing Address - Phone:760-775-9901
Mailing Address - Fax:760-775-9902
Practice Address - Street 1:80120 US HIGHWAY 111
Practice Address - Street 2:SUITE #3
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-8356
Practice Address - Country:US
Practice Address - Phone:760-775-9901
Practice Address - Fax:760-775-9902
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRAN-TRUONG DDS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-09
Last Update Date:2009-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA459931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty