Provider Demographics
NPI:1316024359
Name:HSU, TZU-CHIEH T
Entity Type:Individual
Prefix:DR
First Name:TZU-CHIEH
Middle Name:T
Last Name:HSU
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:ANDY
Other - Middle Name:
Other - Last Name:HSU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:10212 5TH AVE NE
Mailing Address - Street 2:SUITE #268
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-7452
Mailing Address - Country:US
Mailing Address - Phone:206-527-5111
Mailing Address - Fax:
Practice Address - Street 1:10212 5TH AVE NE
Practice Address - Street 2:SUITE #268
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-7452
Practice Address - Country:US
Practice Address - Phone:206-527-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000105441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice