Individual
SUNGJUN HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3670 BRIDGEPORT WAY W, UNIT B, UNIVERSITY PLACE, WA 98466-4413
(253) 212-3430
(253) 212-3288
Mailing address
3670 BRIDGEPORT WAY W, UNIT B, UNIVERSITY PLACE, WA 98466-4413
(253) 212-3430
(253) 212-3288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE60450555
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49235DM
—
WA
Enumeration date
10/08/2014
Last updated
10/08/2014
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