Provider Demographics
NPI:1942445457
Name:DUC MINH TRAN DDS INC,
Entity Type:Organization
Organization Name:DUC MINH TRAN DDS INC,
Other - Org Name:SMILING TOOTH DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DUC
Authorized Official - Middle Name:MINH
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-934-1037
Mailing Address - Street 1:995 MONTAGUE EXPY
Mailing Address - Street 2:SUITE 118
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-6851
Mailing Address - Country:US
Mailing Address - Phone:408-934-1037
Mailing Address - Fax:
Practice Address - Street 1:995 MONTAGUE EXPY
Practice Address - Street 2:SUITE 118
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6851
Practice Address - Country:US
Practice Address - Phone:408-934-1037
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-12
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA532811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty