Healthcare Provider Details

I. General information

NPI: 1598881781
Provider Name (Legal Business Name): CINDY TRAN, DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 09/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49271 GRAPEFRUIT BLVD STE 1
COACHELLA CA
92236-1485
US

IV. Provider business mailing address

49271 GRAPEFRUIT BLVD STE 1
COACHELLA CA
92236-1485
US

V. Phone/Fax

Practice location:
  • Phone: 760-398-3636
  • Fax: 760-398-2220
Mailing address:
  • Phone: 760-398-3636
  • Fax: 760-398-2220

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CINDY MAI TRAN
Title or Position: CEO-PRESIDENT
Credential: DDS
Phone: 760-398-3636