Individual
DR. TINA SIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2595 HUNTINGTON DR, SAN MARINO, CA 91108-2235
(626) 796-0615
Mailing address
2595 HUNTINGTON DR, SAN MARINO, CA 91108-2235
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
034421
CA
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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