MEDICARE: ANA HAO-HSU HU DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	7642	NV

General Provider Information

NPI Number	:	1104556539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA HAO-HSU HU DMD

Provider Business Mailing Address
First Line	:	8811 SACRED FALLS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-1205
Country	:	US
Telephone Number	:	702-283-3278
Fax Number	:

Provider Business Practice Location Address
First Line	:	2421 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2123
Country	:	US
Telephone Number	:	702-870-3818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2022
Last Update Date	:	03/14/2024

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