Provider Demographics
NPI:1780732081
Name:TSEU, MITCHELL WEI MING (DDS)
Entity type:Individual
Prefix:DR
First Name:MITCHELL
Middle Name:WEI MING
Last Name:TSEU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 S KING ST STE 402
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2117
Mailing Address - Country:US
Mailing Address - Phone:808-596-2550
Mailing Address - Fax:808-596-2551
Practice Address - Street 1:1040 S KING ST STE 402
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-2117
Practice Address - Country:US
Practice Address - Phone:808-596-2550
Practice Address - Fax:808-596-2551
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI#14551223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI02990802Medicaid
HI1455OtherHDS
836711OtherUNITED CONCORDIA