Healthcare Provider Details

I. General information

NPI: 1104936111
Provider Name (Legal Business Name): TRANG THUY CHESLER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 2ND ST SW
WASHINGTON DC
20593-0002
US

IV. Provider business mailing address

10217 BIG ROCK RD
SILVER SPRING MD
20901-2708
US

V. Phone/Fax

Practice location:
  • Phone: 202-372-4122
  • Fax: 202-372-4912
Mailing address:
  • Phone: 202-372-4122
  • Fax: 202-372-4912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number52669
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: