| Overlake Family Dental Center | |
|
15230 Ne 24th St Ste N Redmond WA 98052-5540 | |
| (425) 641-5140 | |
| Not Available |
| Full Name | Overlake Family Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 15230 Ne 24th St, Redmond, Washington |
| Authorized Official Name and Position | Andy T Hsu (DENTIST) |
| Authorized Official Contact | 4256415140 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Overlake Family Dental Center 10212 5th Ave Ne Ste 268 Seattle WA 98125-7452 Ph: (206) 527-5111 | Overlake Family Dental Center 15230 Ne 24th St Ste N Redmond WA 98052-5540 Ph: (425) 641-5140 |
| NPI Number | 1669750063 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 08/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669750063 | NPI | - | NPPES |
| DE00010544 | Other | WA | LICENSE |
| 1316024359 | Other | WA | INDIVIDUAL NPI FOR DR. ANDY T. HSU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DE00010544 (Washington) | Primary |
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