Individual
VICTORIA TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
189 N BASCOM AVE STE 200, SAN JOSE, CA 95128-1869
(408) 268-6315
Mailing address
189 N BASCOM AVE STE 200, SAN JOSE, CA 95128-1869
(408) 286-6315
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30.025474
OH
1223P0221X
Pediatric Dentistry
Primary
104736
CA
1223P0221X
Pediatric Dentistry
30.025474
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0337869
—
OH
Enumeration date
02/14/2018
Last updated
08/16/2021
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