Provider Demographics
NPI:1215665435
Name:TRAN, YVETTE THUY AN (DDS)
Entity type:Individual
Prefix:DR
First Name:YVETTE
Middle Name:THUY AN
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 STARBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4723
Mailing Address - Country:US
Mailing Address - Phone:714-660-8788
Mailing Address - Fax:
Practice Address - Street 1:404 STARBRIDGE CT
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-4723
Practice Address - Country:US
Practice Address - Phone:714-660-8788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107783122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist