Provider Demographics
NPI:1982822722
Name:TRANDAI DENTAL CARE
Entity Type:Organization
Organization Name:TRANDAI DENTAL CARE
Other - Org Name:OAKTON WHITE DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DMD DENTIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINH
Authorized Official - Middle Name:T
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:847-803-5003
Mailing Address - Street 1:1625 E OAKTON ST
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018
Mailing Address - Country:US
Mailing Address - Phone:847-803-5003
Mailing Address - Fax:847-803-5130
Practice Address - Street 1:1625 E OAKTON ST
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018
Practice Address - Country:US
Practice Address - Phone:847-803-5003
Practice Address - Fax:847-803-5130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty