Provider Demographics
NPI:1164611471
Name:TUASON, CYNTHIA CALINGO (DDS)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:CALINGO
Last Name:TUASON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1061 SATURN BLVD
Mailing Address - Street 2:103
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-2051
Mailing Address - Country:US
Mailing Address - Phone:619-254-5909
Mailing Address - Fax:619-863-0893
Practice Address - Street 1:1061 SATURN BLVD
Practice Address - Street 2:103
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-2051
Practice Address - Country:US
Practice Address - Phone:619-254-5909
Practice Address - Fax:619-863-0893
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA464401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice