| NPI | 1740303031 |
|---|---|
| Former Legal Business Name | HSU ORTHODONTICS DENTAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SHELTON HSU President 408-617-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: CA 47266) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |