Healthcare Provider Details

I. General information

NPI: 1003982869
Provider Name (Legal Business Name): KUZI S HSUE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 SOUTH 56TH ST SUITE 202
TACOMA WA
98409
US

IV. Provider business mailing address

2115 SOUTH 56TH ST SUITE 202
TACOMA WA
98409
US

V. Phone/Fax

Practice location:
  • Phone: 253-473-4303
  • Fax: 253-473-0201
Mailing address:
  • Phone: 253-473-4303
  • Fax: 253-473-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number6736
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: