DR. Tina Siu, DDS

NPI #1013350602 in San Marino, California

Provider Information

NPI Number: 1013350602
Entity Type: Individual
Name: DR. Tina Siu, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Credential: DDS
Enumeration Date: Apr 12, 2013
Last Updated: Apr 12, 2013

Practice Location

Address: 2595 HUNTINGTON DR
City: San Marino
State: California
ZIP Code: 91108-2235
Phone: (626) 796-0615

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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Organizations

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