Provider Demographics
NPI:1861030983
Name:STEVE KEEJIN HWANG DDS PLLC
Entity Type:Organization
Organization Name:STEVE KEEJIN HWANG DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-780-9437
Mailing Address - Street 1:701 M ST NE STE 104
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4500
Mailing Address - Country:US
Mailing Address - Phone:253-833-9063
Mailing Address - Fax:
Practice Address - Street 1:701 M ST NE STE 104
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4500
Practice Address - Country:US
Practice Address - Phone:253-833-9063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental