Provider Demographics
NPI:1265653166
Name:DANIEL H TSAO DMD CHARTERED
Entity Type:Organization
Organization Name:DANIEL H TSAO DMD CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:H
Authorized Official - Last Name:TSAO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:316-687-6477
Mailing Address - Street 1:310 N HILLSIDE ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67214-4906
Mailing Address - Country:US
Mailing Address - Phone:316-687-6477
Mailing Address - Fax:316-685-4081
Practice Address - Street 1:310 N HILLSIDE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-4906
Practice Address - Country:US
Practice Address - Phone:316-687-6477
Practice Address - Fax:316-685-4081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS60301122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty