Provider Demographics
NPI:1811345671
Name:TSUI, TIFFANY ANWHAY (DMD)
Entity type:Individual
Prefix:
First Name:TIFFANY
Middle Name:ANWHAY
Last Name:TSUI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14269 LYONNAIS ST
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-9451
Mailing Address - Country:US
Mailing Address - Phone:909-979-7759
Mailing Address - Fax:
Practice Address - Street 1:9209 COLIMA RD STE 2400
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90605-1817
Practice Address - Country:US
Practice Address - Phone:562-693-7761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CADDS1019151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program