Organization
ETEN DENTAL PLLC
Active
Other names
Eten Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EJU HWANG DDS (OWNER)
(718) 423-1010
Entity
Organization
Contact information
Practice address
21814 NORTHERN BLVD STE 104, BAYSIDE, NY 11361-3580
(184) 231-0107
(718) 423-1011
Mailing address
46 WINTHROP DR, WOODBURY, NY 11797-1315
(516) 584-6528
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
08/13/2021
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