Provider Demographics
NPI:1366051625
Name:HUEY Q TRAN, DDS, INC.
Entity type:Organization
Organization Name:HUEY Q TRAN, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HUEY
Authorized Official - Middle Name:QUANG
Authorized Official - Last Name:TRAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-302-7508
Mailing Address - Street 1:33321 TEMECULA PARKWAY STE 104
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592
Mailing Address - Country:US
Mailing Address - Phone:951-302-7508
Mailing Address - Fax:951-302-7593
Practice Address - Street 1:33321 TEMECULA PARKWAY STE 104
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592
Practice Address - Country:US
Practice Address - Phone:951-302-7508
Practice Address - Fax:951-302-7593
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUEY Q TRAN, DDS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty