Provider Demographics
NPI:1396890182
Name:POH, TIAN SIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:TIAN
Middle Name:SIAN
Last Name:POH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:TIAN
Other - Middle Name:SIAN
Other - Last Name:POH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2721 H ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1911
Mailing Address - Country:US
Mailing Address - Phone:661-324-9709
Mailing Address - Fax:661-324-9137
Practice Address - Street 1:2721 H ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1911
Practice Address - Country:US
Practice Address - Phone:661-324-9709
Practice Address - Fax:661-324-9137
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA166131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice