Provider Demographics
NPI:1952043549
Name:TIP TOP DENTAL
Entity Type:Organization
Organization Name:TIP TOP DENTAL
Other - Org Name:DR SOE DENTAL CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
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:415-658-7501
Mailing Address - Street 1:2277 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-1811
Mailing Address - Country:US
Mailing Address - Phone:415-658-7501
Mailing Address - Fax:
Practice Address - Street 1:2277 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-1811
Practice Address - Country:US
Practice Address - Phone:415-658-7501
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR SOE DENTAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-13
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty