Provider Demographics
NPI:1386997609
Name:TRAN TOUNIAN DDS PLLC
Entity type:Organization
Organization Name:TRAN TOUNIAN DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-838-0707
Mailing Address - Street 1:7545 W SAHARA AVE
Mailing Address - Street 2:#200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2866
Mailing Address - Country:US
Mailing Address - Phone:702-838-0707
Mailing Address - Fax:702-838-0706
Practice Address - Street 1:3073 W CRAIG RD
Practice Address - Street 2:#1
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-5122
Practice Address - Country:US
Practice Address - Phone:702-838-0707
Practice Address - Fax:702-838-0706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6131122300000X
NV5586122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty