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NPI Code Detail

MEDICARE: HUEY-WEN TSO DDS

MEDICARE: HUEY-WEN TSO DDS
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
1122300000XDentist35474TX

General Provider Information

NPI Number : 1780039933
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUEY-WEN TSO DDS
Provider Business Mailing Address
First Line : 7177 159TH ST APT 401
Second Line :
City : FRESH MEADOWS
State : NY
Zip : 11365-4502
Country : US
Telephone Number : 206-291-5617
Fax Number :
Provider Business Practice Location Address
First Line : 3030 LBJ FWY STE 1400
Second Line :
City : DALLAS
State : TX
Zip : 75234-2766
Country : US
Telephone Number : 972-663-5361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2016
Last Update Date : 07/19/2019

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Directions to “ HUEY-WEN TSO DDS” Practice Location

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