Provider Demographics
NPI:1134343429
Name:TRAN, VI THI (DDS)
Entity type:Individual
Prefix:DR
First Name:VI
Middle Name:THI
Last Name:TRAN
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 1:1710 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-4302
Mailing Address - Country:US
Mailing Address - Phone:281-342-3301
Mailing Address - Fax:281-232-6698
Practice Address - Street 1:1710 1ST ST
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77471-4302
Practice Address - Country:US
Practice Address - Phone:281-342-3301
Practice Address - Fax:281-232-6698
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX204111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice