MEDICARE: MRS. HUYEN-TRANG NU TON D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	41560	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B41560-01	OTHER	CA	1
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336234384
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HUYEN-TRANG NU TON D.D.S.

Provider Business Mailing Address
First Line	:	PO BOX 2516
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92814-0516
Country	:	US
Telephone Number	:	714-778-4767
Fax Number	:	714-778-1039

Provider Business Practice Location Address
First Line	:	2247 W BALL RD
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-5314
Country	:	US
Telephone Number	:	714-778-4767
Fax Number	:	714-778-1039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	12/16/2019

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