Provider Demographics
NPI:1295736858
Name:HOANG, TRAM QUYNH (DDS, MS)
Entity type:Individual
Prefix:MRS
First Name:TRAM
Middle Name:QUYNH
Last Name:HOANG
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2176 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1144
Mailing Address - Country:US
Mailing Address - Phone:408-564-6805
Mailing Address - Fax:408-816-8767
Practice Address - Street 1:2176 THE ALAMEDA
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1144
Practice Address - Country:US
Practice Address - Phone:408-564-6805
Practice Address - Fax:408-816-8767
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-04
Last Update Date:2015-09-11
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-04-14
Provider Licenses
StateLicense IDTaxonomies
CA446971223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics