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Individual

DR. MINA HWANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019032504
IL
122300000X
Dentist
0401415384
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019032504
STATE LICENSE
IL
01
319021879
CDS
IL
Enumeration date
09/12/2016
Last updated
03/07/2023
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