Provider Demographics
NPI:1629303144
Name:TODAY'S DENTISTRY
Entity Type:Organization
Organization Name:TODAY'S DENTISTRY
Other - Org Name:DR SOE DENTAL CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KYAW
Authorized Official - Middle Name:K
Authorized Official - Last Name:SOE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-585-5773
Mailing Address - Street 1:4747 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-2729
Mailing Address - Country:US
Mailing Address - Phone:415-585-5773
Mailing Address - Fax:415-585-5594
Practice Address - Street 1:4747 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-2729
Practice Address - Country:US
Practice Address - Phone:415-585-5773
Practice Address - Fax:415-585-5594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-16
Last Update Date:2009-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty