Provider Demographics
NPI:1356533491
Name:TRAN AND TRAN, A DENTAL CORP
Entity type:Organization
Organization Name:TRAN AND TRAN, A DENTAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:AN
Authorized Official - Middle Name:T
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-669-0656
Mailing Address - Street 1:13830 SAN PABLO AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-3758
Mailing Address - Country:US
Mailing Address - Phone:510-233-4200
Mailing Address - Fax:510-233-4210
Practice Address - Street 1:13830 SAN PABLO AVE
Practice Address - Street 2:SUITE F
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-3758
Practice Address - Country:US
Practice Address - Phone:510-233-4200
Practice Address - Fax:510-233-4210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2007-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42241261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental