| Hsu Dental Clinic Pllc | |
|
11545 15th Ave Ne Ste 201 Seattle WA 98125-6358 | |
| (206) 362-2456 | |
| (206) 362-3675 |
| Full Name | Hsu Dental Clinic Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11545 15th Ave Ne Ste 201, Seattle, Washington |
| Authorized Official Name and Position | Jeffrey C Hsu (OWNER) |
| Authorized Official Contact | 2063622456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hsu Dental Clinic Pllc 11545 15th Ave Ne Ste 201 Seattle WA 98125-6358 Ph: (206) 362-2456 | Hsu Dental Clinic Pllc 11545 15th Ave Ne Ste 201 Seattle WA 98125-6358 Ph: (206) 362-2456 |
| NPI Number | 1831415199 |
|---|---|
| Provider Enumeration Date | 04/12/2010 |
| Last Update Date | 04/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831415199 | NPI | - | NPPES |
| 5049838 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DE00010147 (Washington) | Primary |
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