Provider Demographics
NPI:1922074137
Name:TRAN, DUC MINH (DDS)
Entity Type:Individual
Prefix:DR
First Name:DUC
Middle Name:MINH
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 1:995 MONTAGUE EXPY STE 118
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-6818
Mailing Address - Country:US
Mailing Address - Phone:408-829-7435
Mailing Address - Fax:
Practice Address - Street 1:995 MONTAGUE EXPY STE 118
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6818
Practice Address - Country:US
Practice Address - Phone:408-934-1037
Practice Address - Fax:408-934-9682
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA532811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice