Provider Demographics
NPI:1902087737
Name:TSAO, YI-PIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:YI-PIN
Middle Name:
Last Name:TSAO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4337 RENAISSANCE DR APT 220
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-2809
Mailing Address - Country:US
Mailing Address - Phone:734-730-2714
Mailing Address - Fax:
Practice Address - Street 1:2155 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2333
Practice Address - Country:US
Practice Address - Phone:734-730-2714
Practice Address - Fax:415-929-6654
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-20
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901018985122300000X
CA56693122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist