Provider Demographics
NPI:1871285130
Name:NGHIEM, BAO-CHI CLARA TRAN (DDS)
Entity type:Individual
Prefix:
First Name:BAO-CHI CLARA
Middle Name:TRAN
Last Name:NGHIEM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CLARA
Other - Middle Name:
Other - Last Name:NGHIEM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2555 16TH ST APT 328
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4565
Mailing Address - Country:US
Mailing Address - Phone:303-408-7157
Mailing Address - Fax:
Practice Address - Street 1:1790 E BRIDGE ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-1934
Practice Address - Country:US
Practice Address - Phone:303-659-1064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00205586122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist