Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 46983 | CA |
NPI | 1003006487 |
---|---|
Provider Name | Dr. Cindy Y Szeto |
First Address | Roseville, CA 95678-3430 |
Second Address | Roseville, CA 95678-3430 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2007 |
Last Update Date | 08/02/2012 |