Provider Demographics
NPI:1821886946
Name:XUE AND MA, DMD, PLLC
Entity type:Organization
Organization Name:XUE AND MA, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARE
Authorized Official - Middle Name:CHENGQIN
Authorized Official - Last Name:MA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:206-466-3808
Mailing Address - Street 1:19703 1ST AVE S
Mailing Address - Street 2:
Mailing Address - City:NORMANDY PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98148-2401
Mailing Address - Country:US
Mailing Address - Phone:206-466-3808
Mailing Address - Fax:
Practice Address - Street 1:19703 1ST AVE S
Practice Address - Street 2:
Practice Address - City:NORMANDY PARK
Practice Address - State:WA
Practice Address - Zip Code:98148-2401
Practice Address - Country:US
Practice Address - Phone:206-466-3808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental