Provider Demographics
NPI:1053373977
Name:TRAN, CHARLENE N (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:N
Last Name:TRAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:3200 LONE TREE WAY
Mailing Address - Street 2:#100
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-5556
Mailing Address - Country:US
Mailing Address - Phone:925-754-2122
Mailing Address - Fax:925-754-2132
Practice Address - Street 1:3200 LONE TREE WAY
Practice Address - Street 2:#100
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-5556
Practice Address - Country:US
Practice Address - Phone:925-754-2122
Practice Address - Fax:925-754-2132
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA34239122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist