Provider Demographics
NPI:1720282254
Name:HWANG AND CHAN DDS APC
Entity Type:Organization
Organization Name:HWANG AND CHAN DDS APC
Other - Org Name:BALDWIN PARK DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:M
Authorized Official - Last Name:HWANG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-337-0237
Mailing Address - Street 1:3223 BALDWIN PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-4802
Mailing Address - Country:US
Mailing Address - Phone:626-337-0237
Mailing Address - Fax:626-337-7060
Practice Address - Street 1:3223 BALDWIN PARK BLVD
Practice Address - Street 2:
Practice Address - City:BALDWIN PARK
Practice Address - State:CA
Practice Address - Zip Code:91706-4802
Practice Address - Country:US
Practice Address - Phone:626-337-0237
Practice Address - Fax:626-337-7060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty