Provider Demographics
NPI:1255461646
Name:TRAN, BACH T (DDS)
Entity type:Individual
Prefix:
First Name:BACH
Middle Name:T
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 1:7762 TAYLOR DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1446
Mailing Address - Country:US
Mailing Address - Phone:714-842-2611
Mailing Address - Fax:
Practice Address - Street 1:6300 WHITE LN
Practice Address - Street 2:STE. C
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-8763
Practice Address - Country:US
Practice Address - Phone:661-827-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA536571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD53657OtherDENTI-CAL PROVIDER NUMBER