Individual
DR. JASON TSAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2838 N OLIVER ST, WICHITA, KS 67220-2983
(316) 978-8350
Mailing address
14314 E TWINLAKE DR, WICHITA, KS 67230-9615
(617) 869-6009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61625
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61625
KANSAS DENTAL BOARD
KS
Enumeration date
07/09/2020
Last updated
07/09/2020
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