Individual
DR. CHESTER Y HSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2643 RANDLEMAN RD, GREENSBORO, NC 27406-5153
(336) 544-2758
(910) 338-3031
Mailing address
7807 FRONT NINE DR, STOKESDALE, NC 27357-9407
(916) 761-6455
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11660
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B45877
STATE LICENSE #
CA
01
—
D45877
DDHF PROVIDER #
CA
01
—
G92444-01
MEDI-CAL PROVIDER #
CA
Enumeration date
09/17/2006
Last updated
01/22/2021
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