Provider Demographics
NPI:1629299243
Name:TSO, ALBERT C (DDS)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:C
Last Name:TSO
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Gender:M
Credentials:DDS
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Mailing Address - Street 1:39560 STEVENSON PL
Mailing Address - Street 2:SUITE 116
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-3074
Mailing Address - Country:US
Mailing Address - Phone:510-494-8787
Mailing Address - Fax:510-494-8078
Practice Address - Street 1:39560 STEVENSON PL
Practice Address - Street 2:SUITE 116
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-3074
Practice Address - Country:US
Practice Address - Phone:510-494-8787
Practice Address - Fax:510-494-8078
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2008-02-05
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Provider Licenses
StateLicense IDTaxonomies
CA367051223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery