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Individual

DR. SHUN-CHING HSU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1132 ATHENS HWY, #207, GRAYSON, GA 30017-1710
(678) 512-0261
Mailing address
6307 ROBINS TRCE, STONE MOUNTAIN, GA 30087-4979
(770) 498-3645

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012882
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100292
AVESIS
GA
05
684739693B
GA
01
9180517
DORAL
GA
Enumeration date
09/20/2006
Last updated
04/17/2009
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