Healthcare Provider Details

I. General information

NPI: 1578481727
Provider Name (Legal Business Name): FALLBROOK HEARTY SMILES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

343 E ALVARADO ST
FALLBROOK CA
92028-2966
US

IV. Provider business mailing address

9756 EMMONS CIR
FOUNTAIN VALLEY CA
92708-2925
US

V. Phone/Fax

Practice location:
  • Phone: 714-705-9452
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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. GIANG TUNG TRAN
Title or Position: DDS/OWNER
Credential:
Phone: 714-705-9452