Provider Demographics
NPI:1457424327
Name:TSANG, MARK (DDS)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:TSANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 STOCKTON STREET
Mailing Address - Street 2:#208
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-1619
Mailing Address - Country:US
Mailing Address - Phone:415-986-8899
Mailing Address - Fax:415-986-8920
Practice Address - Street 1:950 STOCKTON STREET
Practice Address - Street 2:#208
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-1619
Practice Address - Country:US
Practice Address - Phone:415-986-8899
Practice Address - Fax:415-986-8920
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44637122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist