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General NPI Number Information
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NPI Number | 1124247093
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Entity Type | Organization
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Legal Business Name | KELVIN C TSOI DDS MPH CORP
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 8951 GLENDON WAY GLENROSE DENTAL GROUP
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City | ROSEMEAD
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State | CA
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Zip | 91770-1807
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Country | US
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Telephone | 626-288-7667
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Fax | 626-288-6346
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Provider Business Mailing Address
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Address Line | 6141 TEMPLE CITY BLVD
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City | TEMPLE CITY
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State | CA
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Zip | 91780-1748
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Country | US
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Telephone | 626-288-7667
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Fax | 626-288-6346
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Authorized Official
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Title or Position | PRESIDENT
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Name | KELVIN C TSOI
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Credential | DDS MDH
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Telephone | 626-288-7667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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