Provider Demographics
NPI:1326240854
Name:TSAI, CHING-YIN (DDS)
Entity Type:Individual
Prefix:
First Name:CHING-YIN
Middle Name:
Last Name:TSAI
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 1:4150 TRUXEL RD STE D
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-3761
Mailing Address - Country:US
Mailing Address - Phone:916-515-0008
Mailing Address - Fax:916-515-0088
Practice Address - Street 1:4150 TRUXEL RD
Practice Address - Street 2:SUITE D
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-3761
Practice Address - Country:US
Practice Address - Phone:916-515-0008
Practice Address - Fax:916-515-0088
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA520111223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics