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Organization
KOHAN AND TSAI PROFESSIONAL DENTAL CORPORATION OF FONTANA
Active
Organization
KOHAN AND TSAI PROFESSIONAL DENTAL CORPORATION OF FONTANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN TSAI (PRESIDENT)
(415) 794-4279
Entity
Organization
Contact information
Practice address
9190 SIERRA AVE STE 101, FONTANA, CA 92335-8613
(909) 356-4200
Mailing address
9190 SIERRA AVE STE 101, FONTANA, CA 92335-8613
(909) 356-4200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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