Provider Demographics
NPI:1568696920
Name:TONY S. HWANG DDS, INC
Entity Type:Organization
Organization Name:TONY S. HWANG DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-308-1807
Mailing Address - Street 1:1941 HUNTINGTON DR
Mailing Address - Street 2:SUITE #A
Mailing Address - City:SOUTH PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91030-4967
Mailing Address - Country:US
Mailing Address - Phone:626-308-1807
Mailing Address - Fax:
Practice Address - Street 1:1941 HUNTINGTON DR
Practice Address - Street 2:SUITE #A
Practice Address - City:SOUTH PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91030-4967
Practice Address - Country:US
Practice Address - Phone:626-308-1807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA455771223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty