Healthcare Provider Details

I. General information

NPI: 1134053408
Provider Name (Legal Business Name): GOLDEN GLOW HYGIENE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10141 WESTMINSTER AVE STE 205
GARDEN GROVE CA
92843-4789
US

IV. Provider business mailing address

10141 WESTMINSTER AVE STE 205
GARDEN GROVE CA
92843-4789
US

V. Phone/Fax

Practice location:
  • Phone: 714-307-8797
  • Fax:
Mailing address:
  • Phone: 714-307-8797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State

VIII. Authorized Official

Name: TRAVIS DWAYNE TRAMEL
Title or Position: PRESIDENT
Credential: RDHAP
Phone: 951-757-9964