Provider Demographics
NPI:1144364860
Name:TRAN, HOANG-OANH (DMD)
Entity type:Individual
Prefix:DR
First Name:HOANG-OANH
Middle Name:
Last Name:TRAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:SELINA
Other - Middle Name:HOANG-OANH
Other - Last Name:TRAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:6134 A ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044
Mailing Address - Country:US
Mailing Address - Phone:703-237-4521
Mailing Address - Fax:703-237-4679
Practice Address - Street 1:6134 A ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22044
Practice Address - Country:US
Practice Address - Phone:703-237-4521
Practice Address - Fax:703-237-4679
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401008948122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist