Provider Demographics
NPI:1245650654
Name:C TRAN DENTAL , INC.
Entity type:Organization
Organization Name:C TRAN DENTAL , INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:MAI
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS (DENTIST)
Authorized Official - Phone:714-454-7064
Mailing Address - Street 1:2749 N. GRAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705
Mailing Address - Country:US
Mailing Address - Phone:714-639-3723
Mailing Address - Fax:714-639-1325
Practice Address - Street 1:2749 N. GRAND AVENUE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705
Practice Address - Country:US
Practice Address - Phone:714-639-3723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:C TRAN DENTAL , INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-24
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47814122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty