Provider Demographics
NPI:1558592832
Name:CHESTER HSU, D.D.S, INC.
Entity Type:Organization
Organization Name:CHESTER HSU, D.D.S, INC.
Other - Org Name:THE SILVER STAR DENTAL PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHESTER
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-434-6220
Mailing Address - Street 1:2995 FIELDSTONE DRIVE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-8807
Mailing Address - Country:US
Mailing Address - Phone:916-434-6220
Mailing Address - Fax:916-434-6330
Practice Address - Street 1:2295 FIELDSTONE DRIVE
Practice Address - Street 2:SUITE 110
Practice Address - City:LINCOLN
Practice Address - State:CA
Practice Address - Zip Code:95648-8807
Practice Address - Country:US
Practice Address - Phone:916-434-6220
Practice Address - Fax:916-434-6330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty