Individual
PETER HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
EISENHOWER ARMY MEDICAL CENTER, HOSPITAL DENTAL CLINIC, FORT EISENHOWER, GA 30905
(706) 787-1937
Mailing address
834 LILLIAN PARK DR, GROVETOWN, GA 30813-0710
(706) 787-6927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416684
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2019
Last updated
06/21/2024
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