Provider Demographics
NPI:1538574793
Name:HOFFMEISTER, AMANDA KIMBERLY TSOI (DDS)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:KIMBERLY TSOI
Last Name:HOFFMEISTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:KIMBERLY
Other - Last Name:TSOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1565 HOLLENBECK AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-4300
Mailing Address - Country:US
Mailing Address - Phone:408-520-2656
Mailing Address - Fax:
Practice Address - Street 1:1565 HOLLENBECK AVE STE 102
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-4300
Practice Address - Country:US
Practice Address - Phone:408-520-2656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-26
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS100144122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist