Healthcare Provider Details

I. General information

NPI: 1629413133
Provider Name (Legal Business Name): CHRISTINA TSENG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2013
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1620 N US HIGHWAY 1 STE 6
TEQUESTA FL
33469-3241
US

IV. Provider business mailing address

9037 SW LEATHER FERN WAY
PALM CITY FL
34990-4136
US

V. Phone/Fax

Practice location:
  • Phone: 561-744-0677
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN20839
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: