Provider Demographics
NPI:1245230630
Name:HWANG, JOSEPH (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:HWANG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 MURRIETA BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-4163
Mailing Address - Country:US
Mailing Address - Phone:925-273-7650
Mailing Address - Fax:925-270-0584
Practice Address - Street 1:1018 MURRIETA BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4163
Practice Address - Country:US
Practice Address - Phone:925-273-7650
Practice Address - Fax:925-270-0584
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2015-10-08
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-04-06
Provider Licenses
StateLicense IDTaxonomies
CA470971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice