Provider Demographics
NPI:1528482999
Name:TRIEU P. TON, DDS, PROF. CORP.
Entity type:Organization
Organization Name:TRIEU P. TON, DDS, PROF. CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TRIEU
Authorized Official - Middle Name:P
Authorized Official - Last Name:TON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:530-574-3396
Mailing Address - Street 1:400 DEL ANTICO AVE UNIT 699
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94561-5632
Mailing Address - Country:US
Mailing Address - Phone:925-600-8020
Mailing Address - Fax:925-452-6323
Practice Address - Street 1:2199 MAIN ST
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:CA
Practice Address - Zip Code:94561-3303
Practice Address - Country:US
Practice Address - Phone:925-600-8020
Practice Address - Fax:925-452-6323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59481261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental