Provider Demographics
NPI:1740791128
Name:DR DANIEL HWANG PLLC
Entity Type:Organization
Organization Name:DR DANIEL HWANG PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:206-579-2792
Mailing Address - Street 1:14170 NE 183RD ST UNIT 312
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-7076
Mailing Address - Country:US
Mailing Address - Phone:206-579-2792
Mailing Address - Fax:
Practice Address - Street 1:24003 BOTHELL EVERETT HWY # 100
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-9342
Practice Address - Country:US
Practice Address - Phone:425-486-4428
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental