Provider Demographics
NPI:1083971238
Name:HSU, YUNG-TING (DDS)
Entity Type:Individual
Prefix:
First Name:YUNG-TING
Middle Name:
Last Name:HSU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1959 NE PACIFIC ST # D-554
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-7444
Mailing Address - Country:US
Mailing Address - Phone:734-389-9818
Mailing Address - Fax:206-616-7478
Practice Address - Street 1:1959 NE PACIFIC ST # D-554
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98195-7444
Practice Address - Country:US
Practice Address - Phone:734-389-9818
Practice Address - Fax:206-616-7478
Is Sole Proprietor?:No
Enumeration Date:2012-04-12
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE609604111223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics