Provider Demographics
NPI:1669154472
Name:TRAN, VICTORIA THAOVI (DDS)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:THAOVI
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3277 STANDER DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-3133
Mailing Address - Country:US
Mailing Address - Phone:408-464-9540
Mailing Address - Fax:
Practice Address - Street 1:8008 WALERGA RD STE 100
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-9003
Practice Address - Country:US
Practice Address - Phone:916-725-4530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109044122300000X, 122300000X
TX40132122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist