Provider Demographics
NPI:1477811651
Name:TRANG, FLORA (DDS)
Entity type:Individual
Prefix:
First Name:FLORA
Middle Name:
Last Name:TRANG
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 1:2329 OGDEN SANNAZOR DR
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95377-8902
Mailing Address - Country:US
Mailing Address - Phone:209-914-5506
Mailing Address - Fax:
Practice Address - Street 1:2329 OGDEN SANNAZOR DR
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95377-8902
Practice Address - Country:US
Practice Address - Phone:209-914-5506
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7448122300000X
MI2901021804122300000X
CA1048301223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist