Provider Demographics
NPI:1841369386
Name:TSAI, ERIC S (DMD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:S
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 1:1855 SAN MIGUEL DRIVE
Mailing Address - Street 2:SUITE #10
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5279
Mailing Address - Country:US
Mailing Address - Phone:925-944-1033
Mailing Address - Fax:925-944-1039
Practice Address - Street 1:1855 SAN MIGUEL DRIVE
Practice Address - Street 2:SUITE #10
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5279
Practice Address - Country:US
Practice Address - Phone:925-944-1033
Practice Address - Fax:925-944-1039
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA475741223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics