Organization
COLLIN TSAI DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLIN TSAI (PRESIDENT)
(415) 794-4279
Entity
Organization
Contact information
Practice address
4028 CHICAGO AVE, RIVERSIDE, CA 92507-5340
(951) 328-1166
Mailing address
4028 CHICAGO AVE, RIVERSIDE, CA 92507-5340
(951) 328-1166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
07/27/2021
Last updated
09/14/2021
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