Provider Demographics
NPI:1427253202
Name:TRAN, ANH N (DDS)
Entity type:Individual
Prefix:DR
First Name:ANH
Middle Name:N
Last Name:TRAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6965 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LEMON GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:91945-1405
Mailing Address - Country:US
Mailing Address - Phone:619-589-0777
Mailing Address - Fax:619-589-0722
Practice Address - Street 1:6965 BROADWAY
Practice Address - Street 2:
Practice Address - City:LEMON GROVE
Practice Address - State:CA
Practice Address - Zip Code:91945-1405
Practice Address - Country:US
Practice Address - Phone:619-589-0777
Practice Address - Fax:619-589-0722
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDT6521122300000X
CA54755122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist