Individual
JEREMY KYLE HWANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
35 WOODLAND AVE STE B, MORTON, PA 19070-1512
(610) 544-3630
Mailing address
209 HARVEST LN, BROOMALL, PA 19008-4408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041705
PA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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