Provider Demographics
NPI:1912195348
Name:TRINH, NANCY JOANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:JOANNE
Last Name:TRINH
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 S GRAND VIEW ST APT 305
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-3693
Mailing Address - Country:US
Mailing Address - Phone:310-628-1294
Mailing Address - Fax:
Practice Address - Street 1:1138 S GRAND VIEW ST APT 305
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-3693
Practice Address - Country:US
Practice Address - Phone:310-628-1294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56447122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist