# ETEN DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eten Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457923872
- **Authorized official:** DR. EJU HWANG DDS (OWNER)
- **Authorized official phone:** (718) 423-1010

## Contact information

- **Practice address:** 21814 NORTHERN BLVD STE 104, BAYSIDE, NY 11361-3580
- **Practice address phone:** (184) 231-0107
- **Practice address fax:** (718) 423-1011
- **Mailing address:** 46 WINTHROP DR, WOODBURY, NY 11797-1315
- **Mailing address phone:** (516) 584-6528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2021
- **Last updated:** 08/13/2021