Provider Demographics
NPI:1235251414
Name:KUO, MEHNG-SHUHN (DDS)
Entity Type:Individual
Prefix:
First Name:MEHNG-SHUHN
Middle Name:
Last Name:KUO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 154TH AVE NE APT C222
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-4383
Mailing Address - Country:US
Mailing Address - Phone:425-644-7444
Mailing Address - Fax:425-649-8884
Practice Address - Street 1:14700 NE 8TH ST STE 205
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-4115
Practice Address - Country:US
Practice Address - Phone:425-644-7444
Practice Address - Fax:425-649-8884
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000103511223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics