Provider Demographics
NPI:1306152145
Name:TRAN, JULIE (DMD)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4183 BALL RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3465
Mailing Address - Country:US
Mailing Address - Phone:714-827-2131
Mailing Address - Fax:714-827-0832
Practice Address - Street 1:4183 BALL RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630
Practice Address - Country:US
Practice Address - Phone:714-827-2131
Practice Address - Fax:714-827-0832
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA611251223G0001X
NV60001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice