| Shun Hsu Dds Llc | |
|
1132 Athens Hwy Suite 207 Grayson GA 30017-1710 | |
| (678) 512-0261 | |
| (678) 512-0262 |
| Full Name | Shun Hsu Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1132 Athens Hwy, Grayson, Georgia |
| Authorized Official Name and Position | Shun Ching Hsu (OWNER/DENTIST) |
| Authorized Official Contact | 6785120261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shun Hsu Dds Llc 6307 Robins Trce Stone Mountain GA 30087-4979 Ph: (678) 512-0261 | Shun Hsu Dds Llc 1132 Athens Hwy Suite 207 Grayson GA 30017-1710 Ph: (678) 512-0261 |
| NPI Number | 1598011355 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598011355 | NPI | - | NPPES |
| 1073611224 | Other | GA | INDIVIDUAL NPI # |
| 684739693B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012882 (Georgia) | Primary |
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