Healthcare Provider Details

I. General information

NPI: 1346665924
Provider Name (Legal Business Name): VAL H TRAN DENTISTRY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2014
Last Update Date: 02/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

434 S EUCLID ST 100
ANAHEIM CA
92802-1247
US

IV. Provider business mailing address

434 S EUCLID ST 100
ANAHEIM CA
92802-1247
US

V. Phone/Fax

Practice location:
  • Phone: 714-533-0900
  • Fax: 714-533-0902
Mailing address:
  • Phone: 714-533-0900
  • Fax: 714-533-0902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number50834
License Number StateCA

VIII. Authorized Official

Name: VAL H TRAN
Title or Position: DENTIST
Credential:
Phone: 714-533-0900