Xu, Shaofan Kevin

Xu, Shaofan Kevin is an individual health care provider with primary practice located at 5038 Tacoma Mall Blvd Ste. A, Tacoma WA 98409. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Xu, Shaofan Kevin can be contacted via phone (253) 473-2166.

Contact Information

Primary practice address
5038 Tacoma Mall Blvd Ste. A Tacoma WA 98409
Fax: (253) 473-2167
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6938 Washington

Profile Details

NPI number 1710957329
LBN Legal business name Xu, Shaofan Kevin
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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