Provider Demographics
NPI:1770682361
Name:TSO, SYLVIA C (DDS)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:C
Last Name:TSO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SYLVIA
Other - Middle Name:C
Other - Last Name:TSO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:52 ARCH STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062
Mailing Address - Country:US
Mailing Address - Phone:650-369-3675
Mailing Address - Fax:650-369-4279
Practice Address - Street 1:52 ARCH STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062
Practice Address - Country:US
Practice Address - Phone:650-369-3675
Practice Address - Fax:650-369-4279
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41319122300000X
NV2794122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist