Provider Demographics
NPI:1235442583
Name:HSUE,PARK&GHORBANIAN PLLC
Entity Type:Organization
Organization Name:HSUE,PARK&GHORBANIAN PLLC
Other - Org Name:SUNRISE DENTAL OF MARYSVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:
Authorized Official - Last Name:HSUE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:360-651-1882
Mailing Address - Street 1:1603 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-4301
Mailing Address - Country:US
Mailing Address - Phone:360-651-1882
Mailing Address - Fax:360-651-1889
Practice Address - Street 1:1603 GROVE ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98270-4301
Practice Address - Country:US
Practice Address - Phone:360-651-1882
Practice Address - Fax:360-651-1889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-15
Last Update Date:2010-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental