Provider Demographics
NPI:1265630917
Name:HWANG, VICTOR KOWEI (DDS)
Entity Type:Individual
Prefix:
First Name:VICTOR
Middle Name:KOWEI
Last Name:HWANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 SANTA RITA RD
Mailing Address - Street 2:STE D228
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-4779
Mailing Address - Country:US
Mailing Address - Phone:925-457-4884
Mailing Address - Fax:
Practice Address - Street 1:2243 VAN NESS AVE STE 101
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-2504
Practice Address - Country:US
Practice Address - Phone:925-457-4884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-04
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA509251223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics