Provider Demographics
NPI:1902973290
Name:TRAN, THE-HAO MANH (DDS)
Entity type:Individual
Prefix:DR
First Name:THE-HAO
Middle Name:MANH
Last Name:TRAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:THE-HAO
Other - Middle Name:MANH
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:8195 E CHESHIRE RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-1500
Mailing Address - Country:US
Mailing Address - Phone:714-757-2832
Mailing Address - Fax:
Practice Address - Street 1:701 E 28TH ST STE 414
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2700
Practice Address - Country:US
Practice Address - Phone:714-283-1362
Practice Address - Fax:714-283-1362
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2020-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA490131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice