Provider Demographics
NPI:1558602896
Name:K HSUE
Entity Type:Organization
Organization Name:K HSUE
Other - Org Name:WEST VALLEY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:KUZI
Authorized Official - Middle Name:
Authorized Official - Last Name:HSUE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:425-430-9099
Mailing Address - Street 1:15668 W VALLEY HWY
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-5534
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15668 W VALLEY HWY
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-5534
Practice Address - Country:US
Practice Address - Phone:425-430-9099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-12
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE0006736122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty