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Individual

MARK H HSU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
5100 W TAFT RD, SUITE 3K, LIVERPOOL, NY 13088-3807
(315) 452-2700
(315) 452-2705
Mailing address
5100 WEST TAFT RD, SUITE 3K, NMC GENERAL DENTISTRY, PC, LIVERPOOL, NY 13088
(315) 452-2700
(315) 452-2705

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042499
NY
1223G0001X
General Practice Dentistry
24295
TX

Other

Enumeration date
03/02/2011
Last updated
10/02/2013
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