Individual
DR. EJU HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3651 BELL BLVD, BAYSIDE, NY 11361-2025
(718) 938-3101
Mailing address
2 MARLENE DR, SYOSSET, NY 11791-6125
(212) 464-8418
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053487-1
NY
1223G0001X
General Practice Dentistry
22DI02298401
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02936294
—
NY
Enumeration date
05/07/2007
Last updated
05/10/2008
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