Provider Demographics
NPI:1891951976
Name:BANG, HYUN S (DDS)
Entity Type:Individual
Prefix:DR
First Name:HYUN
Middle Name:S
Last Name:BANG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 VAN NESS AVE STE 401
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:415-771-2150
Mailing Address - Fax:415-484-7852
Practice Address - Street 1:2001 VAN NESS AVE STE 401
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:415-771-2150
Practice Address - Fax:415-484-7852
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE601255481223G0001X
CA621481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice