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15230 Ne 24th St Ste N Redmond WA 98052-5540 | |
(425) 641-5140 | |
Not Available |
Full Name | |
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Speciality | Dentist |
Location | 15230 Ne 24th St, Redmond, Washington |
Authorized Official Name and Position | Andy T Hsu (DENTIST) |
Authorized Official Contact | 4256415140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10212 5th Ave Ne Ste 268 Seattle WA 98125-7452 Ph: (206) 527-5111 | 15230 Ne 24th St Ste N Redmond WA 98052-5540 Ph: (425) 641-5140 |
NPI Number | 1669750063 |
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Provider Enumeration Date | 08/02/2011 |
Last Update Date | 08/02/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669750063 | NPI | - | NPPES |
DE00010544 | Other | WA | LICENSE |
1316024359 | Other | WA | INDIVIDUAL NPI FOR DR. ANDY T. HSU |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DE00010544 (Washington) | Primary |
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