Provider Demographics
NPI:1841488731
Name:HSU, BRUNO (DDS)
Entity type:Individual
Prefix:DR
First Name:BRUNO
Middle Name:
Last Name:HSU
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 1:1529 PROSPECT AVE
Mailing Address - Street 2:UNIT F
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-4400
Mailing Address - Country:US
Mailing Address - Phone:917-848-2434
Mailing Address - Fax:626-308-7892
Practice Address - Street 1:616 N GARFIELD AVE
Practice Address - Street 2:#102
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1141
Practice Address - Country:US
Practice Address - Phone:626-288-0208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-05
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA563961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice