Provider Demographics
NPI:1396866075
Name:TRAN, DAVID HUAN NGOC (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HUAN NGOC
Last Name:TRAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:DAVID
Other - Middle Name:HUAN
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:10540 SOUTHERN HIGHLANDS PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-4377
Mailing Address - Country:US
Mailing Address - Phone:702-870-8726
Mailing Address - Fax:702-870-8728
Practice Address - Street 1:10540 SOUTHERN HIGHLANDS PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-4377
Practice Address - Country:US
Practice Address - Phone:702-870-8726
Practice Address - Fax:702-870-8728
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV34991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice