Individual
CAROLYN LEE HSIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2525 E ROOSEVELT ST, PHOENIX, AZ 85008-4948
(602) 344-1015
Mailing address
4166 W DUBLIN ST, CHANDLER, AZ 85226-2148
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009532
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265534
—
AZ
Enumeration date
02/09/2016
Last updated
07/24/2017
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