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Organization
KELLY J HWANG DDS INC
Active
Organization
KELLY J HWANG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY J HWANG D.D.S. (PRESIDENT)
(858) 486-8611
Entity
Organization
Contact information
Practice address
11385 POWAY RD STE 103, SAN DIEGO, CA 92128-5600
(858) 486-8611
(858) 486-1099
Mailing address
757 POPPY RD, SAN MARCOS, CA 92078-6905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61930
CA
Other
Enumeration date
12/06/2017
Last updated
06/27/2019
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