Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | 6736 | WA |
NPI | 1003982869 |
---|---|
Provider Name | Kuzi S Hsue |
First Address | Tacoma, WA 98409 |
Second Address | Tacoma, WA 98409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2006 |
Last Update Date | 08/07/2007 |