Provider Demographics
NPI:1689082000
Name:HSU & SHAO PLLC
Entity type:Organization
Organization Name:HSU & SHAO PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HSU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:206-355-8897
Mailing Address - Street 1:2709 BICKFORD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98290-1766
Mailing Address - Country:US
Mailing Address - Phone:425-374-8451
Mailing Address - Fax:425-374-8484
Practice Address - Street 1:2709 BICKFORD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98290-1766
Practice Address - Country:US
Practice Address - Phone:425-374-8451
Practice Address - Fax:425-374-8484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA10544122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty