Provider Demographics
NPI:1720188410
Name:TSUI, MICHAEL MENGCHIAO (D D S)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:MENGCHIAO
Last Name:TSUI
Suffix:
Gender:M
Credentials:D D S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7743 PAINTER AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90602-2438
Mailing Address - Country:US
Mailing Address - Phone:562-693-7761
Mailing Address - Fax:562-945-6643
Practice Address - Street 1:7743 PAINTER AVE
Practice Address - Street 2:SUITE D
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602-2438
Practice Address - Country:US
Practice Address - Phone:562-693-7761
Practice Address - Fax:562-945-6643
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA336791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice