Provider Demographics
NPI:1205928686
Name:TSAI, SHERRY P (DDS)
Entity type:Individual
Prefix:DR
First Name:SHERRY
Middle Name:P
Last Name:TSAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 CAPUCHINO DR
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-1258
Mailing Address - Country:US
Mailing Address - Phone:650-583-5880
Mailing Address - Fax:650-475-0596
Practice Address - Street 1:88 CAPUCHINO DR
Practice Address - Street 2:
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030-1258
Practice Address - Country:US
Practice Address - Phone:650-583-5880
Practice Address - Fax:650-475-0596
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA412091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice