Provider Demographics
NPI:1073856290
Name:TSOI, KELVIN C (DDS)
Entity Type:Individual
Prefix:DR
First Name:KELVIN
Middle Name:C
Last Name:TSOI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8951 GLENDON WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-1892
Mailing Address - Country:US
Mailing Address - Phone:626-288-7667
Mailing Address - Fax:
Practice Address - Street 1:8951 GLENDON WAY
Practice Address - Street 2:
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-1892
Practice Address - Country:US
Practice Address - Phone:626-288-7667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48776122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist