Provider Demographics
NPI:1457409708
Name:HWANG, ERIC W (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:W
Last Name:HWANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14120 BEACH BLVD
Mailing Address - Street 2:#112
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4454
Mailing Address - Country:US
Mailing Address - Phone:714-894-0574
Mailing Address - Fax:714-894-0345
Practice Address - Street 1:14120 BEACH BLVD
Practice Address - Street 2:#112
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-4454
Practice Address - Country:US
Practice Address - Phone:714-894-0574
Practice Address - Fax:714-894-0345
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA502731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice