Provider Demographics
NPI:1275184459
Name:HSU, PI-YU (DDS, MSD)
Entity Type:Individual
Prefix:
First Name:PI-YU
Middle Name:
Last Name:HSU
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 NE 40TH ST APT 301
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-6552
Mailing Address - Country:US
Mailing Address - Phone:206-661-2993
Mailing Address - Fax:
Practice Address - Street 1:509 OLIVE WAY STE 1043
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-1724
Practice Address - Country:US
Practice Address - Phone:206-623-0483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE609473711223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics