Individual
KASSIE OUBRE HSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6849 FAIRVIEW RD, SUITE 200, CHARLOTTE, NC 28210-3393
(704) 364-4711
Mailing address
6849 FAIRVIEW RD, SUITE 200, CHARLOTTE, NC 28210-3393
(704) 364-4711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9468
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176268401
—
TX
01
—
1777531
UNITED CONCORDIA
TX
05
—
9181396
—
NM
Enumeration date
10/14/2006
Last updated
05/27/2015
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