# AILAN TRAN,D.D.S., A PROFESSIONAL DENTAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** AILAN DENTAL CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790803310
- **Authorized official:** MR. VINH LE (VICE PRESIDENT)
- **Authorized official phone:** (408) 528-7878

## Contact information

- **Practice address:** 2042 TULLY RD, SAN JOSE, CA 95122-1357
- **Practice address phone:** (408) 528-7878
- **Mailing address:** 2042 TULLY RD, SAN JOSE, CA 95122-1357
- **Mailing address phone:** (408) 528-7878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 43502 | CA | Yes |

## Other

- **Enumeration date:** 03/26/2007
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 43502 | STATE LICENCE | CA |
| 05 | — | 516896 | — | CA |
| 05 | — | D43502 | — | CA |
| 05 | — | G91512-01 | — | CA |