Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | IL |
NPI | 1053484857 |
---|---|
Provider Name | Dr. Guang P Tsay |
First Address | Mayfield Hts, OH 44124-6502 |
Second Address | Mayfield Hts, OH 44124-6502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 08/07/2007 |