Provider Demographics
NPI:1316252950
Name:TRAN, LYNDA THUY (DDS)
Entity type:Individual
Prefix:DR
First Name:LYNDA
Middle Name:THUY
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LYNDA
Other - Middle Name:THUY
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:550 WATER ST
Mailing Address - Street 2:I-5
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-4124
Mailing Address - Country:US
Mailing Address - Phone:831-429-9614
Mailing Address - Fax:
Practice Address - Street 1:550 WATER ST
Practice Address - Street 2:I-5
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4124
Practice Address - Country:US
Practice Address - Phone:831-429-9614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-06
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA594771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice