Provider Demographics
NPI:1427670264
Name:TRANG D THAI DMD
Entity type:Organization
Organization Name:TRANG D THAI DMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRANG
Authorized Official - Middle Name:D
Authorized Official - Last Name:THAI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:408-205-1580
Mailing Address - Street 1:2835 MAYGLEN WAY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95133-2036
Mailing Address - Country:US
Mailing Address - Phone:408-205-1580
Mailing Address - Fax:
Practice Address - Street 1:20345 STEVENS CREEK BLVD
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2225
Practice Address - Country:US
Practice Address - Phone:408-889-6058
Practice Address - Fax:408-854-5546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty