MEDICARE: MR. TEMING HSUEH 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
1	122300000X	Dentist	31474	CA

General Provider Information

NPI Number	:	1508987330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TEMING HSUEH DDS

Provider Business Mailing Address
First Line	:	1701 10TH AVENUE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94122
Country	:	US
Telephone Number	:	415-564-9690
Fax Number	:

Provider Business Practice Location Address
First Line	:	3221 MACARTHUR BLVD
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94602
Country	:	US
Telephone Number	:	510-482-2057
Fax Number	:

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	07/08/2007

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