Provider Demographics
NPI:1316065055
Name:TRAN, MY-NGOC HO (DDS)
Entity type:Individual
Prefix:DR
First Name:MY-NGOC
Middle Name:HO
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:713 COIBION CT
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-1345
Mailing Address - Country:US
Mailing Address - Phone:916-781-7237
Mailing Address - Fax:916-782-7466
Practice Address - Street 1:1240 SUNSET BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765
Practice Address - Country:US
Practice Address - Phone:916-625-1435
Practice Address - Fax:916-625-1439
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA538811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice