Organization
HWANG LONG TERM DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HWANG DMD (DENTIST)
(475) 238-8165
Entity
Organization
Contact information
Practice address
174 SCOTT RD, PROSPECT, CT 06712-1300
(475) 238-8165
(475) 655-2967
Mailing address
PO BOX 7227, 174 SCOTT ROAD, PROSPECT, CT 06787-1300
(475) 238-8165
(475) 655-2967
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
009577
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568685352
—
CT
Enumeration date
03/20/2017
Last updated
03/20/2017
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