Provider Demographics
NPI:1073611570
Name:TSENG, IRENE A (DDS)
Entity Type:Individual
Prefix:DR
First Name:IRENE
Middle Name:A
Last Name:TSENG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:29626 ANN ARBOR TRL
Mailing Address - Street 2:
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-3738
Mailing Address - Country:US
Mailing Address - Phone:734-422-4900
Mailing Address - Fax:734-513-8222
Practice Address - Street 1:29626 ANN ARBOR TRL
Practice Address - Street 2:
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-3738
Practice Address - Country:US
Practice Address - Phone:734-422-4900
Practice Address - Fax:734-513-8222
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI29010145741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice