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Organization

SHAO HSU GHORBANIAN PLLC

Active
Other names
SUNRISE DENTAL OF BONNEY LAKE
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDY HSU DMD (CO-OWNER/DENTIST)
(253) 862-1015
Entity
Organization

Contact information

Practice address
20071 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8460
(253) 862-1015
Mailing address
20071 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-8460
(253) 862-1015

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10544
WA

Other

Enumeration date
05/27/2010
Last updated
05/27/2010
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