Healthcare Provider Details

I. General information

NPI: 1639008261
Provider Name (Legal Business Name): TCA DENTAL SUPPLY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2516 TROY AVE STE F
EL MONTE CA
91733-1441
US

IV. Provider business mailing address

2516 TROY AVE STE F
EL MONTE CA
91733-1441
US

V. Phone/Fax

Practice location:
  • Phone: 626-325-4276
  • Fax:
Mailing address:
  • Phone: 626-325-4276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code126800000X
TaxonomyDental Assistant
License Number
License Number State

VIII. Authorized Official

Name: SAINA WU
Title or Position: CEO
Credential: RDA
Phone: 626-325-4276