Provider Demographics
NPI:1336234384
Name:TON, HUYEN-TRANG NU (DDS)
Entity Type:Individual
Prefix:MRS
First Name:HUYEN-TRANG
Middle Name:NU
Last Name:TON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MRS
Other - First Name:TRANG
Other - Middle Name:NU
Other - Last Name:TON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 2516
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92814-0516
Mailing Address - Country:US
Mailing Address - Phone:714-778-4767
Mailing Address - Fax:714-778-1039
Practice Address - Street 1:2247 W BALL RD
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-5314
Practice Address - Country:US
Practice Address - Phone:714-778-4767
Practice Address - Fax:714-778-1039
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA415601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB41560-01Other1
CAD41560Medicaid