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Organization
H DENTAL GROUP LLC
Active
Organization
H DENTAL GROUP LLC
Active
Other names
OVERLAKE FAMILY DENTAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY T HSU DMD (DENTIST)
(425) 641-5140
Entity
Organization
Contact information
Practice address
15230 NE 24TH ST, STE N, REDMOND, WA 98052-5540
(425) 641-5140
Mailing address
10212 5TH AVE NE, STE 268, SEATTLE, WA 98125-7452
(206) 527-5111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00010544
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316024359
INDIVIDUAL NPI FOR DR. ANDY T. HSU
WA
01
—
DE00010544
LICENSE
WA
Enumeration date
08/02/2011
Last updated
08/02/2011
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