Provider Demographics
NPI:1982847893
Name:ALLISON P. TRAN DDS, LLC
Entity Type:Organization
Organization Name:ALLISON P. TRAN DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:P
Authorized Official - Last Name:TRAN-YOKOTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-744-0288
Mailing Address - Street 1:45-093 WAIKALUA RD
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2754
Mailing Address - Country:US
Mailing Address - Phone:808-744-0288
Mailing Address - Fax:808-744-0779
Practice Address - Street 1:94-1042 KA UKA BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-9679
Practice Address - Country:US
Practice Address - Phone:808-744-0288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-08
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI21361223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty