Provider Demographics
NPI:1821164682
Name:KUZI S HSUE
Entity Type:Organization
Organization Name:KUZI S HSUE
Other - Org Name:SOUTH SOUND DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:KUZI
Authorized Official - Middle Name:S
Authorized Official - Last Name:HSUE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:253-473-4303
Mailing Address - Street 1:2115 SOUTH 56TH STREET
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409
Mailing Address - Country:US
Mailing Address - Phone:253-473-4303
Mailing Address - Fax:253-473-0201
Practice Address - Street 1:2115 SOUTH 56TH STREET
Practice Address - Street 2:SUITE 202
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409
Practice Address - Country:US
Practice Address - Phone:253-473-4303
Practice Address - Fax:253-473-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA6736122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty