Provider Demographics
NPI:1972644052
Name:TRIEU, MY HANH H (DDS)
Entity Type:Individual
Prefix:DR
First Name:MY HANH
Middle Name:H
Last Name:TRIEU
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 1:8735 CENTER PKWY
Mailing Address - Street 2:#150
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95823-7923
Mailing Address - Country:US
Mailing Address - Phone:916-714-3410
Mailing Address - Fax:
Practice Address - Street 1:8735 CENTER PARKWAY
Practice Address - Street 2:#150
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823
Practice Address - Country:US
Practice Address - Phone:916-714-3410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA455311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice