Provider Demographics
NPI:1720085194
Name:TRINH, BRIAN BINH (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:BINH
Last Name:TRINH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 FRANKLIN ST
Mailing Address - Street 2:STE 910
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-2824
Mailing Address - Country:US
Mailing Address - Phone:510-836-4811
Mailing Address - Fax:510-836-2338
Practice Address - Street 1:1624 FRANKLIN ST
Practice Address - Street 2:STE 910
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-2824
Practice Address - Country:US
Practice Address - Phone:510-836-4811
Practice Address - Fax:510-836-2338
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA456261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB45626OtherDENTICAL ID