Provider Demographics
NPI:1891843496
Name:ARTHUR S. KWAN, DMD & SALLY P. HSU, DDS, INC
Entity Type:Organization
Organization Name:ARTHUR S. KWAN, DMD & SALLY P. HSU, DDS, INC
Other - Org Name:NU SMILE CENTER FOR AESTHETIC & RESTORATIVE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-780-9688
Mailing Address - Street 1:1420 BLUE OAKS BLVD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-7143
Mailing Address - Country:US
Mailing Address - Phone:916-780-9688
Mailing Address - Fax:916-780-9698
Practice Address - Street 1:1420 BLUE OAKS BLVD
Practice Address - Street 2:SUITE 180
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-7143
Practice Address - Country:US
Practice Address - Phone:916-780-9688
Practice Address - Fax:916-780-9698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44913122300000X
CA45469122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty