MEDICARE: DR. DAVID HUAN NGOC TRAN DDS

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	3499	NV

General Provider Information

NPI Number	:	1396866075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID HUAN NGOC TRAN DDS

Provider Business Mailing Address
First Line	:	10540 SOUTHERN HIGHLANDS PKWY
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-4377
Country	:	US
Telephone Number	:	702-870-8726
Fax Number	:	702-870-8728

Provider Business Practice Location Address
First Line	:	10540 SOUTHERN HIGHLANDS PKWY
Second Line	:	SUITE 100
City	:	LAS VEGAS
State	:	NV
Zip	:	89141-4377
Country	:	US
Telephone Number	:	702-870-8726
Fax Number	:	702-870-8728

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	04/09/2010

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