Provider Demographics
NPI:1467578500
Name:TSAI, HSIAO & LOO DENTAL CORPORATION
Entity Type:Organization
Organization Name:TSAI, HSIAO & LOO DENTAL CORPORATION
Other - Org Name:UNIVERSAL CARE DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-981-5002
Mailing Address - Street 1:P.O BOX 93122
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90809-3122
Mailing Address - Country:US
Mailing Address - Phone:562-424-6200
Mailing Address - Fax:562-981-5074
Practice Address - Street 1:12828 HARBOR BLVD., #340
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-5831
Practice Address - Country:US
Practice Address - Phone:714-530-9801
Practice Address - Fax:714-530-7824
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TSAI, HSIAO & LOO DENTAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-21
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
122300000X
CA48503122300000X
CA41564122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty