Organization
PENINSULA ORTHODONTIC GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES TSAU DMD (PRESIDENT)
(650) 260-2868
Entity
Organization
Contact information
Practice address
11 BIRCH ST STE 100, REDWOOD CITY, CA 94062-1480
(650) 298-8400
Mailing address
563 LEAHY ST, REDWOOD CITY, CA 94061-3877
(650) 260-2868
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
50540
CA
Other
Enumeration date
11/01/2007
Last updated
02/12/2008
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