Provider Demographics
NPI:1932367794
Name:TRAN, NHAN (DDS)
Entity Type:Individual
Prefix:
First Name:NHAN
Middle Name:
Last Name:TRAN
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 1:9045 BRUCEVILLE ROAD
Mailing Address - Street 2:SUITE 170
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758
Mailing Address - Country:US
Mailing Address - Phone:916-683-9080
Mailing Address - Fax:916-683-5955
Practice Address - Street 1:9045 BRUCEVILLE ROAD
Practice Address - Street 2:SUITE 170
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758
Practice Address - Country:US
Practice Address - Phone:916-683-9080
Practice Address - Fax:916-683-9080
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA488611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice