Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | DE60960411 | WA |
NPI | 1083971238 |
---|---|
Provider Name | Yung-Ting Hsu |
First Address | Seattle, WA 98195-7444 |
Second Address | Seattle, WA 98195-7444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2012 |
Last Update Date | 26/06/2020 |