Provider Demographics
NPI:1699906974
Name:ROBIN THUCANH P. TRAN,DDS,DENTAL CORPORATION,INC
Entity type:Organization
Organization Name:ROBIN THUCANH P. TRAN,DDS,DENTAL CORPORATION,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:408-272-8145
Mailing Address - Street 1:2351 MCKEE ROAD
Mailing Address - Street 2:STE B
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116
Mailing Address - Country:US
Mailing Address - Phone:408-272-8145
Mailing Address - Fax:408-272-8874
Practice Address - Street 1:2351 MCKEE RD
Practice Address - Street 2:STE B
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1624
Practice Address - Country:US
Practice Address - Phone:408-272-8145
Practice Address - Fax:408-272-8874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty