Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 47814 | CA |
NPI | 1003967548 |
---|---|
Provider Name | Dr. Cindy Tran |
First Address | Coachella, CA 92236-1485 |
Second Address | Coachella, CA 92236-1485 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 08/07/2007 |