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General NPI Number Information
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NPI Number | 1689082000
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Entity Type | Organization
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Legal Business Name | HSU & SHAO PLLC
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 07/29/2014
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Provider Practice Location Address
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Address Line | 2709 BICKFORD AVE SUITE A
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City | SNOHOMISH
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State | WA
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Zip | 98290-1766
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Country | US
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Telephone | 425-374-8451
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Fax | 425-374-8484
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Provider Business Mailing Address
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Address Line | 2709 BICKFORD AVE SUITE A
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City | SNOHOMISH
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State | WA
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Zip | 98290-1766
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Country | US
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Telephone | 425-374-8451
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Fax | 425-374-8484
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. ANDY HSU
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Credential | DMD
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Telephone | 206-355-8897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10544
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License Number State | WA
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