Provider Demographics
NPI:1740275494
Name:TSAI, CHENG-HO (DMD)
Entity type:Individual
Prefix:DR
First Name:CHENG-HO
Middle Name:
Last Name:TSAI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 W DUARTE RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-9205
Mailing Address - Country:US
Mailing Address - Phone:626-446-0446
Mailing Address - Fax:626-446-0378
Practice Address - Street 1:630 W DUARTE RD
Practice Address - Street 2:SUITE 303
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-9205
Practice Address - Country:US
Practice Address - Phone:626-446-0446
Practice Address - Fax:626-446-0378
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA353501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice