Provider Demographics
NPI:1689321119
Name:TSUCHISTEIN DENTAL CARE INC
Entity Type:Organization
Organization Name:TSUCHISTEIN DENTAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TREVOR
Authorized Official - Middle Name:KENJI
Authorized Official - Last Name:TSUCHIKAWA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-852-6835
Mailing Address - Street 1:7157 171ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-5724
Mailing Address - Country:US
Mailing Address - Phone:206-852-6835
Mailing Address - Fax:
Practice Address - Street 1:2421 HARTNELL AVE STE A
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-2340
Practice Address - Country:US
Practice Address - Phone:530-222-6939
Practice Address - Fax:530-222-1797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-04
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental