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Organization
JUSTIN D. HWANG, DDS, INC
Active
Organization
JUSTIN D. HWANG, DDS, INC
Active
Other names
Dr. Justin Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN D HWANG D.D.S (OWNER)
(323) 582-2200
Entity
Organization
Contact information
Practice address
7208 PACIFIC BLVD STE 200, HUNTINGTON PARK, CA 90255-5770
(323) 582-2200
(323) 582-2882
Mailing address
7208 PACIFIC BLVD STE 200, HUNTINGTON PARK, CA 90255-5770
(323) 582-2200
(323) 582-2882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
35273
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B35273-01
—
CA
Enumeration date
06/19/2007
Last updated
10/14/2010
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