Provider Demographics
NPI:1851177083
Name:TRAN, ANH THIEN HONG (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANH
Middle Name:THIEN HONG
Last Name:TRAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:AIMEE
Other - Middle Name:
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:13023 NE HIGHWAY 99 STE 5
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-2767
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13023 NE HIGHWAY 99 STE 5
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-2767
Practice Address - Country:US
Practice Address - Phone:360-685-1890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE614651291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice