Provider Demographics
NPI:1588140461
Name:TSAI, CURTIS LOWELL (DDS)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:LOWELL
Last Name:TSAI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19201 BROOKHURST ST STE 103
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-2926
Mailing Address - Country:US
Mailing Address - Phone:657-571-3658
Mailing Address - Fax:
Practice Address - Street 1:19201 BROOKHURST ST STE 103
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-2926
Practice Address - Country:US
Practice Address - Phone:657-571-3658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-13
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK71071223G0001X
CA1033611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice