Provider Demographics
NPI:1821306929
Name:TSAI, HSIAO & LOO DENTAL CORPORATION
Entity Type:Organization
Organization Name:TSAI, HSIAO & LOO DENTAL CORPORATION
Other - Org Name:UNIVERSAL CARE DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:TSAI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:562-981-5002
Mailing Address - Street 1:PO BOX 93122
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90809-3122
Mailing Address - Country:US
Mailing Address - Phone:562-424-6200
Mailing Address - Fax:562-981-5074
Practice Address - Street 1:1000 VENICE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-3232
Practice Address - Country:US
Practice Address - Phone:213-748-8810
Practice Address - Fax:213-748-8813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41564122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty