Provider Demographics
NPI:1710679519
Name:DANGTRAN, FLORENCE TU ANH
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:TU ANH
Last Name:DANGTRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7303 SILVERLEAF DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-5115
Mailing Address - Country:US
Mailing Address - Phone:804-441-0403
Mailing Address - Fax:
Practice Address - Street 1:25621 NELSON WAY STE 110
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5367
Practice Address - Country:US
Practice Address - Phone:281-392-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-22
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TX397831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program