Organization
H2 ORTHODONTICS, PLLC
Active
Other names
Smile Makers Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN HUMBERT HSU D.D.S., M.S. (MANAGER)
(972) 722-2943
Entity
Organization
Contact information
Practice address
3090 N GOLIAD ST STE 106, ROCKWALL, TX 75087-7049
(972) 722-2943
(972) 722-2978
Mailing address
3090 N GOLIAD ST STE 106, ROCKWALL, TX 75087-7049
(972) 722-2943
(972) 722-2978
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
28619
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891074472
—
TX
Enumeration date
01/27/2014
Last updated
02/28/2017
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