Provider Demographics
NPI:1922700434
Name:VIET TRAN DENTAL CITY CENTER PLLC
Entity Type:Organization
Organization Name:VIET TRAN DENTAL CITY CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:VIET
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:225-993-2907
Mailing Address - Street 1:12727 KIMBERLEY LN STE 101
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-4050
Mailing Address - Country:US
Mailing Address - Phone:713-827-8200
Mailing Address - Fax:
Practice Address - Street 1:12727 KIMBERLEY LN STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-4050
Practice Address - Country:US
Practice Address - Phone:713-827-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental