Individual
RODHERICK HU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1210 FULTON AVE, COOS BAY, OR 97420-2813
(347) 558-5530
Mailing address
1210 FULTON AVE, COOS BAY, OR 97420-2813
(347) 558-5530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30429
TX
122300000X
Dentist
60517
CA
122300000X
Dentist
Primary
D11062
OR
Other
Enumeration date
09/12/2011
Last updated
12/19/2019
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